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Abstract #9067 Published in IGR 5-2
Hemorrhagic Descemet's membrane detachment after viscocanalostomy
Sagdic Yalvac I; Sahin M; Eksioglu U; Budak K; Sitki Aslan B; Duman SJournal of Cataract and Refractive Surgery 2003; 29: 1440-1442
The authors report a case of hemorrhagic detachment of Descemet's membrane after viscocanalostomy. A 60-year-old male with pseudoexfoliative glaucoma had an uneventful viscocanalostomy in the right eye. On the first postoperative day, a 5.0 x 5.0 mm Descemet's membrane detachment was seen in the superior nasal quadrant. The space between Descemet's membrane and the stroma was filled with a hemorrhage. This hemorrhage had resorbed by six months postoperatively, and Descemet's membrane had completely reattached without surgical manipulation. Final visual acuity dropped from 20/40 to 20/100, final intraocular pressure was 20 mmHg with one medication, and a paracentral fibrinoid scar persisted 18 months after surgery. Hemorrhagic detachment of Descemet's membrane can cause deterioration of visual acuity and should be recognized as a rare complication of viscocanalostomy.
Dr. I. Sagdic Yalvac, Alacam sokak 12-5 Cankaya, 06690 Ankara, Turkey. iyalvac@hotmail.com
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)