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Hemorrhagic Descemet's membrane detachment after viscocanalostomy
Ilgaz Sagdic Yalvac1, Mehmet Sahin, Umit Eksioglu
1Glaucoma Department, Ankara Research and Training Hospital, Ankara, Turkey. iyalvac@hotmail.com
Journal of Cataract and Refractive Surgery
|August 6, 2003
Summary
Hemorrhagic detachment of Descemet
Area of Science:
- Ophthalmology
- Glaucoma Surgery
Background:
- Viscocanalostomy is a surgical procedure for glaucoma.
- Pseudoexfoliative glaucoma is a common indication for surgery.
Observation:
- A 60-year-old male patient developed hemorrhagic detachment of Descemet's membrane post-viscocanalostomy.
- The detachment measured 5.0 mm x 5.0 mm and was located in the superior nasal quadrant, filled with hemorrhage.
Findings:
- The hemorrhage resolved spontaneously within 6 months, leading to complete reattachment of Descemet's membrane.
- Despite reattachment, final visual acuity decreased from 20/40 to 20/100, with persistent visual impairment and a fibrinoid scar.
Implications:
- Hemorrhagic detachment of Descemet's membrane is a rare but significant complication of viscocanalostomy.
- This complication can lead to irreversible visual acuity deterioration.
- Ophthalmologists should be aware of this potential complication and its management.