Imaging of descemet membrane detachment after trabeculectomy using slit-lamp-adapted optical coherence tomography.
OBJECTIVE
To report the use of slit-lamp-adapted optical coherence tomography (SL-OCT) in imaging 2 patients with Descemet membrane detachment following anterior chamber reformation after trabeculectomy.


METHODS
Two patients, with leaking and overfiltering blebs, respectively, developed Descemet detachments after reformation of flat anterior chambers with viscoelastics. Slit-lamp biomicroscopy and SL-OCT were used to diagnose and monitor posttreatment outcome.


RESULTS
Biomicroscopic evaluation and SL-OCT imaging of the cornea revealed a Descemet detachment in both cases. One patient underwent intracameral air injection. Follow-up SL-OCT imaging revealed reattachment of Descemet membrane and reduced corneal thickness.


CONCLUSIONS
SL-OCT can be used to document and follow postsurgical detachment of Descemet membrane.
Palmiero
Pat-Michael
PM
Department of Opthalmology, Einhorn Clinical Research Center, New York Eye and Ear Infirmary, NY 10003, USA.
Sbeity
Zaher
Z
Liebmann
Jeffrey
J
Ritch
Robert
R
D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000473:pathology*; D003316:Corneal Diseases / Q000175:diagnosis* / Q000209:etiology; D003886:Descemet Membrane / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012422:Rupture, Spontaneous; D041623:Tomography, Optical Coherence; D014130:Trabeculectomy