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Descemet membrane detachment after nonpenetrating filtering surgery
E Ravinet1, J J Tritten, S Roy
1Hôpital Jules Gonin, Lausanne, Switzerland and Hôpital de la Ville, La Chaux-de-Fonds, Switzerland. andre.mermoud@ophtal.vd.ch
Journal of Glaucoma
|July 26, 2002
Summary
Descemet membrane detachment is an uncommon complication following nonpenetrating filtering surgery. Awareness of this condition and its varied presentation is crucial for surgeons to ensure proper diagnosis and management.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Nonpenetrating filtering surgery is a common glaucoma treatment.
- Descemet membrane detachment is a rare but potential complication.
Observation:
- This study reviewed nine cases of Descemet membrane detachment after nonpenetrating filtering surgery.
- Detachments varied in presentation and timing post-surgery.
- Corneal clarity was generally maintained, with some cases of edema.
Findings:
- Descemet membrane detachment after viscocanalostomy typically appeared early with clear corneas.
- Detachments after deep sclerectomy with collagen implant appeared later, often with corneal edema.
- Most detachments resolved or improved with conservative treatment or descemetopexy, though two persisted.
Implications:
- Descemet membrane detachment may be underdiagnosed after nonpenetrating filtering surgery.
- Clinical presentation and course depend on the specific surgical technique used.
- Ophthalmologists should consider this complication and observe before intervention.