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Abstract #3653 Published in IGR 4-2
Descemet's membrane detachment associated with inadvertent viscoelastic injection in viscocanalostomy
Kim CY; Seong GJ; Koh HJ; Kim EK; Hong YJYonsei Medical Journal 2002; 43: 279-281
The authors report a case of Descemet's membrane detachment, a rare complication of viscocanalostomy. During the operation, the injection cannula was directed slightly oblique to Schlemm's canal rather than parallel to it. Localized corneal whitening developed adjacent to the injection site during viscoelastic injection. One week postoperatively, corneal edema decreased and Descemet's membrane detachment was noted. Nine months after surgery, the cornea was clear, while detachment of Descemet's membrane remained. IOP was 19 mmHg without any medications. The authors believe that improper cannula positioning during viscoelastic injection may cause Descemet's membrane detachment, a rare complication of viscocanalostomy.
Dr. C.Y. Kim, The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, C.P.O. Box 8044, Seoul 120-752, Korea
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
