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Bilateral total Descemet's membrane detachments after strangulation.

Majid Moshirfar1, Brent S Betts, Maylon Hsu

  • 1University of Utah, John A Moran Eye Center, Department of Ophthalmology and Visual Sciences, Salt Lake City, UT, USA.

Clinical Ophthalmology (Auckland, N.Z.)
|October 4, 2011
PubMed
Summary

Suicide by hanging can cause significant intraocular pressure, leading to detached Descemet

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Area of Science:

  • Ophthalmology
  • Forensic Pathology
  • Corneal Surgery

Background:

  • Suicide by hanging is a known cause of death.
  • Previous reports document lens and anterior capsule fractures following hanging.
  • Corneal complications after hanging have not been previously described.

Purpose of the Study:

  • To report novel corneal findings in an eye bank donor following suicide by hanging.
  • To investigate the potential link between intraocular pressure elevation and corneal damage in hanging cases.
  • To encourage reporting of similar cases by eye bank specialists and transplant surgeons.

Main Methods:

  • Collection of intact globes from a deceased 25-year-old male.
  • Dissection of corneoscleral buttons.
Keywords:
Descemet’s membraneeye bankhangingintraocular pressurestrangulationsuicide

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  • Microscopic examination for corneal abnormalities.

    • Main Results:

    • Observation of bilateral detached Descemet's membranes.
    • Noted peripheral scrolling of the detached Descemet's membranes.
    • Inferred significant intraocular pressure increase as the cause.

    Conclusions:

    • Elevated intraocular pressure during suicide by hanging may cause Descemet's membrane detachment.
    • Corneal damage, specifically Descemet's membrane detachment, is a potential, previously unreported consequence of hanging.
    • Further investigation and shared experiences are needed from eye banking and transplant communities.