Hemorrhagic Descemet's membrane detachment after viscocanalostomy.
We report a case of hemorrhagic detachment of Descemet's membrane after viscocanalostomy. A 60-year-old man with pseudoexfoliative glaucoma had an uneventful viscocanalostomy in the right eye. On the first postoperative day, a 5.0 mm x 5.0 mm Descemet's membrane detachment was present in the superior nasal quadrant. The space between Descemet's membrane and the stroma was filled with a hemorrhage. The hemorrhage resorbed by 6 months postoperatively, and Descemet's membrane completely reattached without surgical manipulation. The final visual acuity dropped from 20/40 to 20/100, final intraocular pressure was 20 mm Hg with 1 medication, and a paracentral fibrinoid scar persisted 18 months after surgery. Hemorrhagic detachment of Descemet's membrane can cause visual acuity deterioration and should be recognized as a rare complication of viscocanalostomy.
Yalvac
Ilgaz Sagdic
IS
Glaucoma Department, Ankara Research and Training Hospital, Ankara, Turkey. iyalvac@hotmail.com
Sahin
Mehmet
M
Eksioglu
Umit
U
Budak
Koray
K
Aslan
Bekir Sitki
BS
Duman
Sunay
S
D003316:Corneal Diseases / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology; D019781:Corneal Topography; D003886:Descemet Membrane; D017889:Exfoliation Syndrome / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects; D012075:Remission, Spontaneous; D013999:Timolol / Q000627:therapeutic use; D014792:Visual Acuity
D013999:Timolol