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Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
Published on: September 17, 2014
Intracorneal hematoma with descemet membrane detachment after viscocanalostomy
Hiroko Fujimoto1, Takanori Mizoguchi, Shinichiro Kuroda
1Nagata Eye Clinic, Nara, Japan. hiro5524@eos.ocn.ne.jp
Purpose:
To describe a case of intracorneal hematoma with Descemet membrane detachment after viscocanalostomy.
Design:
Interventional case report.
Methods:
A 63-year-old with uncontrolled primary open-angle glaucoma underwent viscocanalostomy. During the introduction of hyaluronate 2.3% under the superficial flap, a limited lysis of Descemet membrane was observed.
Result:
Slit-lamp biomicroscopy showed an intracorneal hematoma with Descemet membrane detachment 1 day after viscocanalostomy. The creation of an intentional break of Descemet membrane and descemetopexy using sulfur hexafluoride gas were performed. The cornea regained transparency after surgery.
Conclusions:
Intracorneal hematoma with Descemet membrane detachment is a possible complication of viscocanalostomy.
