Descemet’s membrane detachment in a corneal graft after removal of a Baerveldt Shunt Intraluminal Stent
- Author:
Karlo Marco DR. Claudio
1
,
2
;
Rainier Victor A. Covar
1
,
2
;
Ruben Lim Bon Siong
1
,
3
;
Patricia Anne C. Concepcion
1
,
4
Author Information
- Publication Type:Journal Article
- Keywords: Descemet's membrane detachment; Corneal transplant; Baerveldt
- MeSH: Glaucoma Drainage Implants; Corneal Transplantation
- From: Philippine Journal of Ophthalmology 2022;47(2):101-105
- CountryPhilippines
- Language:English
-
Abstract:
Objective:We reported a case of Descemet's membrane detachment (DMD) following ripcord
removal of a Baerveldt shunt in a post-corneal transplant eye, and the interventions done.
Method:This is a case report
Results:A 65-year-old male with multiple surgeries (phacoemulsification, two corneal transplants, and Baerveldt shunt implantation) in the right eye developed increased intraocular pressures, prompting removal of the intraluminal stent (ripcord) of the shunt. This was complicated by hypotony and DMD. Ripcord reinsertion and viscoelastic injection were performed to reattach the Descemet's membrane (DM) but failed. 0.1mL of 14% perfluoropropane (C3F8) gas was injected into the anterior chamber that successfully reattached the DM with return to pre-operative best-corrected visual acuity after 1 week.
Conclusion:Injection of an expansive gas (C3F8) was effective in repairing a corneal graft DMD in an eye with a Baerveldt shunt. - Full text:PJO 36.pdf
