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(1)

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Abstract #10228 Published in IGR 6-1

Intracorneal hematoma with descemet membrane detachment after viscocanalostomy

Fujimoto H; Mizoguchi T; Kuroda S; Nagata M
American Journal of Ophthalmology 2004; 137: 195-136

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PURPOSE: To describe a case of intracorneal hematoma with Descemet's membrane detachment after viscocanalostomy. DESIGN: Interventional case report. METHODS: A 63-year-old with uncontrolled primary open-angle glaucoma underwent viscocanalostomy. During the introduction of hyaluronate 2.3% under the superficial flap, a limited lysis of Descemet's membrane was observed. RESULT: Slit-lamp biomicroscopy showed an intracorneal hematoma with Descemet's membrane detachment one day after viscocanalostomy. The creation of an intentional break of Descemet's membrane and descemetopexy using sulfur hexafluoride gas were performed. The cornea regained transparency after surgery. CONCLUSIONS: Intracorneal hematoma with Descemet's membrane detachment is a possible complication of viscocanalostomy.

Dr. H. Fujimoto, Nagata Eye Clinic, Nara, Japan. hiro5524@eos.ocn.ne.jp

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Classification:

12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)

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