Abstract

GALLEGO-PINAZO, R.; LOPEZ-SANCHEZ, E.  and  MARIN-MONTIEL, J.. Hemorrhagic Descemet's membrane detachment after viscocanalostomy. Arch Soc Esp Oftalmol [online]. 2010, vol.85, n.3, pp.110-113. ISSN 0365-6691.

Introduction: Viscocanalostomy is an option in the surgical treatment of glaucoma. This non-penetrating technique favours aqueous drainage through the Schlemm channel while avoiding filtering blebs and their related pathologies. Complications associated to this surgery are unusual, one of which is Decemet´s membrane detachment (DMD) Clinical case: A 64 year-old female diagnosed with open-angle chronic glaucoma, whose had undergone a viscocanalostomy of the left eye. In the immediate postoperative period we noticed a hemorrhagic DMD in the lower temporal quadrant. After adopting a wait and see attitude, we did not find improvement 15 days after surgery and corneal edema was established with vision decrease. We proceeded to a surgical reapplication by means of Descemet´s membrane micropuncture and SF6 injection into the anterior chamber and achieving an anatomical and functional improvement Discussion: We believe that the intrusion of viscoelastic material into the supradescemetic was a consequence of the high-pressure during the high-density hyaluronate injection. Hemorrhagic DMD management is mainly determined by its location, size and evolution. In our case, the posterior endothelial micropuncture and descematopexy by means of 20% SF6 injection into the anterior chamber was useful in resolving this complication.

Keywords : Viscocanalostomy; Filtering Surgery; Descemet's Membrane detachment; Descematopexy; SF6.

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