Descemet membrane detachment after nonpenetrating filtering surgery.

Détails

ID Serval
serval:BIB_49A0342E1A2E
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Descemet membrane detachment after nonpenetrating filtering surgery.
Périodique
Journal of glaucoma
Auteur⸱e⸱s
Ravinet E., Tritten J.J., Roy S., Gianoli F., Wolfensberger T., Schnyder C., Mermoud A.
ISSN
1057-0829
Statut éditorial
Publié
Date de publication
2002
Peer-reviewed
Oui
Volume
11
Numéro
3
Pages
244-52
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article - Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
28/02/2008 14:01
Dernière modification de la notice
20/08/2019 14:57
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