Yonsei Medical Journal  2002;43(2):279-281

doi:10.3349/ymj.2002.43.2.279

Descemet's Membrane Detachment Associated with Inadvertent Viscoelastic Injection in Viscocanalostomy.

Chan Yun KIM 1 ; Gong Jae SEONG ; Hyoung Jun KOH ; Eung Kweon KIM ; Young Jae HONG

Affiliations

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Keywords

Descemet's membrane detachment; glaucoma; inadvertent viscoelastic injection; viscocanalostomy

Country

Republic 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.