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Hemorrhagic Descemet's membrane detachment as a complication of deep sclerectomy: a case report
V P Kozobolis1, E V Christodoulakis, C S Siganos
1University of Crete, School of Health Sciences, Division of Medicine, Department of Ophthalmology, Crete, Greece.
Purpose:
To report a case that developed hemorrhagic Descemet's membrane detachment after deep sclerectomy.
Patient And Methods:
Case report. A 63-year-old diabetic patient suffering from uncontrolled chronic open-angle glaucoma with full medication, underwent an uneventful deep sclerectomy operation combined with intraoperative Mitomycin-C.
Results:
On the second postoperative day, a hemorrhagic Descemet's membrane detachment (HDDM) was observed. The hemorrhage showed rapid absorption rate during the first two weeks along with reduction of the HDDM. After this period of time the rate of blood absorption was decreased. The Descemet's membrane reattached completely six months after surgery without any intervention but a paracentral corneal scar was present. The bleb was not functionally impaired during the whole postoperative period, and intraocular pressure remained stable at the level between 12 and 15 mmHg without medication.
Conclusion:
Hemorrhagic Descemet's membrane detachment should be considered as a potential complication of deep sclerectomy.