Descemet membrane detachment after nonpenetrating filtering surgery.

Details

Serval ID
serval:BIB_49A0342E1A2E
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Descemet membrane detachment after nonpenetrating filtering surgery.
Journal
Journal of glaucoma
Author(s)
Ravinet E., Tritten J.J., Roy S., Gianoli F., Wolfensberger T., Schnyder C., Mermoud A.
ISSN
1057-0829
Publication state
Published
Issued date
2002
Peer-reviewed
Oui
Volume
11
Number
3
Pages
244-52
Language
english
Notes
Publication types: Case Reports ; Journal Article - Publication Status: ppublish
Abstract
PURPOSE: To make surgeons performing nonpenetrating filtering surgery aware of an unusual complication namely Descemet membrane detachment. METHODS: We retrospectively reviewed nine eyes of nine patients seen in our hospital with Descemet membrane detachment occurring after nonpenetrating filtering surgery from January 1994 to December 2000. RESULTS: Both planar and nonplanar detachments were reported. Neither scrolls nor tears in the Descemet membrane were observed in any patient. After viscocanalostomy (four patients), the detachment was generally noticed shortly after the procedure and the cornea maintained its clarity. After deep sclerectomy with a collagen implant (five patients), it developed weeks to months postoperatively with adjacent corneal edema. Four patients had descemetopexy. None required more than one procedure. However, at the last visit, two detachments persisted although they had diminished in size: one after viscocanalostomy and conservative treatment and one after descemetopexy after deep sclerectomy with a collagen implant. To date otherwise, no signs of significant corneal damage could be observed clinically nor by specular microscopy and pachymetry. CONCLUSIONS: The diagnosis of Descemet membrane detachment can be easily overlooked or misdiagnosed. The clinical presentation, clinical course, and pathogenesis depend on the type of nonpenetrating filtering surgery performed. Ophthalmologists should be aware of this unusual complication, which is likely to be more common after nonpenetrating filtering surgery than after trabeculectomy. A period of observation before attempting descemetopexy is recommended.
Keywords
Adult, Aged, Aged, 80 and over, Corneal Edema, Descemet Membrane, Exfoliation Syndrome, Female, Filtering Surgery, Glaucoma, Open-Angle, Humans, Male, Middle Aged, Postoperative Complications, Retrospective Studies
Pubmed
Web of science
Create date
28/02/2008 14:01
Last modification date
20/08/2019 14:57
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