Hemorrhagic Descemet's membrane detachment after viscocanalostomy

J Cataract Refract Surg. 2003 Jul;29(7):1440-2. doi: 10.1016/s0886-3350(02)01985-5.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Corneal Diseases / etiology*
  • Corneal Diseases / pathology
  • Corneal Diseases / physiopathology
  • Corneal Topography
  • Descemet Membrane*
  • Exfoliation Syndrome / surgery*
  • Hemorrhage / etiology*
  • Hemorrhage / physiopathology
  • Humans
  • Intraocular Pressure / drug effects
  • Male
  • Middle Aged
  • Ophthalmologic Surgical Procedures / adverse effects
  • Remission, Spontaneous
  • Timolol / therapeutic use
  • Visual Acuity

Substances

  • Timolol