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Updated: Jun 17, 2026

Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia
Published on: August 9, 2024
Imaging of descemet membrane detachment after trabeculectomy using slit-lamp-adapted optical coherence tomography
Pat-Michael Palmiero1, Zaher Sbeity, Jeffrey Liebmann
1Department of Opthalmology, Einhorn Clinical Research Center, New York Eye and Ear Infirmary, NY 10003, USA.
Purpose:
To report the use of slit-lamp-adapted optical coherence tomography (SL-OCT) in imaging 2 patients with Descemet membrane detachment following anterior chamber reformation after trabeculectomy.
Methods:
Two patients, with leaking and overfiltering blebs, respectively, developed Descemet detachments after reformation of flat anterior chambers with viscoelastics. Slit-lamp biomicroscopy and SL-OCT were used to diagnose and monitor posttreatment outcome.
Results:
Biomicroscopic evaluation and SL-OCT imaging of the cornea revealed a Descemet detachment in both cases. One patient underwent intracameral air injection. Follow-up SL-OCT imaging revealed reattachment of Descemet membrane and reduced corneal thickness.
Conclusions:
SL-OCT can be used to document and follow postsurgical detachment of Descemet membrane.

