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Descemet membrane detachment caused by hydrogen peroxide injury
Hunter K L Yuen1, Barry Y M Yeung, T H Wong
1Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, and Hospital Authority Ophthalmic Services, Hong Kong Eye Hospital, Kowloon, Hong Kong, People's Republic of China.
Objective:
To describe a patient who developed a Descemet membrane detachment after hydrogen peroxide injury with successful reattachment by intracameral injection of sulfur hexafluoride gas.
Methods:
Case report.
Results:
The right eye of a 40-year-old man was exposed to 35% hydrogen peroxide. This resulted in a central corneal epithelial defect, corneal edema, a localized detachment of Descemet membrane, and a gas bubble between the posterior corneal stroma and Descemet membrane. The Descemet membrane detachment persisted after reabsorption of the gas bubble. Successful reattachment of Descemet membrane was achieved with injection of 0.15 mL of 20% sulfur hexafluoride gas into the anterior chamber.
Conclusion:
Hydrogen peroxide ocular injury may cause Descemet membrane detachment, and successful reattachment may be achieved with intracameral injection of 20% sulfur hexafluoride gas.