You are here

  • Home
  • Archive
  • Volume 18, Issue 1
  • Repair of Descemet’s membrane detachment following inadvertent intrastromal viscoelastic injection for hypotony: anterior and posterior approaches

Article Text

Article menu
Download PDFPDF
Ophthalmology
Repair of Descemet’s membrane detachment following inadvertent intrastromal viscoelastic injection for hypotony: anterior and posterior approaches
  1. James RC Miller1,2,
  2. Emil Kurniawan2 and
  3. Brigid Ning2
  1. 1Moorfields Eye Hospital, Moorfields Eye Hospital NHS Foundation Trust, London, UK
  2. 2Department of Ophthalmology, Royal Free London NHS Foundation Trust, London, UK
  1. Correspondence to Brigid Ning; b.ning{at}nhs.net

Abstract

Descemet’s membrane (DM) detachment is a significant, if rare, risk of intracameral injection of viscoelastic to treat hypotony after glaucoma filtration surgery. We describe two cases of DM detachment following inadvertent injection of viscoelastic into the posterior stroma and the techniques used for their repair. In both cases, conventional air tamponade failed to resolve the detachment, and further surgical intervention was required. One underwent anterior drainage through venting incisions performed in the operating theatre, while the other had posterior drainage through the DM performed on the slit lamp. Both cases had complete resolution with a good visual outcome and preservation of the glaucoma surgery. Management of this type of detachment requires close coordination between corneal and glaucoma specialists, and the surgical option selected should be tailored to the specific detachment. When managed appropriately, a good visual outcome can be achieved without needing corneal graft surgery and minimising the bleb scarring process.

  • Glaucoma
  • Anterior chamber

https://doi.org/10.1136/bcr-2024-261833

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: JM, EK and BN. The following authors gave final approval of the manuscript: JM and EK. BN is responsible for the overall content as guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.