Descemet's Membrane Detachment Associated with Inadvertent Viscoelastic Injection in Viscocanalostomy.
10.3349/ymj.2002.43.2.279
- Author:
Chan Yun KIM
1
;
Gong Jae SEONG
;
Hyoung Jun KOH
;
Eung Kweon KIM
;
Young Jae HONG
Author Information
1. The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. kcyeye@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Descemet's membrane detachment;
glaucoma;
inadvertent viscoelastic injection;
viscocanalostomy
- MeSH:
Aged;
Case Report;
Corneal Diseases/*etiology;
*Descemet's Membrane;
Human;
Hyaluronic Acid/administration & dosage;
Injections/adverse effects;
Intraoperative Complications;
Male;
Ocular Hypertension/*surgery
- From:Yonsei Medical Journal
2002;43(2):279-281
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of Descemet's membrane detachment, a rare complication of viscocanalostomy. During the operation, the injection cannula was directed slightly oblique to the Schlemm's canal rather than parallel to it. Localized corneal whitening developed adjacent to the injection site during viscoelastic injection. One week postoperatively, corneal edema decreased and Descemet's membrane detachment was noted. Nine months after surgery, the cornea was clear while the Descemet's membrane detachment remained. And IOP was 19 mmHg without any medications. We think that improper cannula positioning during viscoelastic injection may cause Descemet's membrane detachment, a rare complication of viscocanalostomy.
