Corneal blood staining secondary to hemorrhagic descemet membrane detachment.
OBJECTIVE
To present a case of corneal blood staining due to a hemorrhagic Descemet membrane detachment and describe a method of surgical intervention.


METHODS
Observation of clinical features and outcome of surgical intervention.


RESULTS
A 72-year-old man had an anterior-chamber intraocular lens removed for presumed uveitis-glaucoma-hyphema syndrome, and he developed an intraoperative hemorrhagic detachment of the Descemet membrane attributed to peripheral corneal neovascularization. Corneal blood staining rapidly developed, and a partial-thickness paracentesis was required to evacuate the lamellar hematoma and allow reattachment of the Descemet membrane.


CONCLUSIONS
Hemorrhage from posterior corneal vessels can result in a hemorrhagic detachment of the Descemet membrane. Corneal blood staining can develop rapidly in an intracorneal or retrocorneal hemorrhage. The blood can be removed without incising the Descemet membrane by making a partial-thickness paracentesis.
Dean A McGee Eye Institute, Department of Ophthalmology, University of Oklahoma, College of Medicine, Oklahoma City, OK 73104, USA.
Poonam S
PS
Sharma
Donald U
DU
Stone
D000368:Aged; D003316:Corneal Diseases / Q000150:complications* / Q000209:etiology*; D016510:Corneal Neovascularization / Q000150:complications; D003886:Descemet Membrane / Q000473:pathology*; D005130:Eye Hemorrhage / Q000150:complications*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male