We present a surgical technique for evacuating an intracorneal pre-Descemet hematoma that occurred during a canaloplasty procedure. The technique allows both evacuation of the hematoma outside the anterior chamber and preservation of the intact Descemet membrane, and it can be performed within the primary procedure. Intraoperative pre-Descemet hematoma is reported to be a relatively rare complication of canaloplasty; however, to hasten visual recovery and to avoid potentially sight-threatening complications, surgeons should be aware of this possible complication and be prepared to resolve it as early as possible, even within the canaloplasty procedure.
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http://dx.doi.org/10.1016/j.jcrs.2014.09.032 | DOI Listing |
Am J Ophthalmol Case Rep
March 2023
University of Ferrara, Department of Translational Medicine, Ferrara, Italy.
Purpose: To present a case of hematocornea occurring in a post-penetrating keratoplasty (PK) eye and to report the outcomes of deep anterior lamellar keratoplasty (DALK) performed by simple stromal peeling.
Observations: A 45-year-old female presented with hematocornea in the left eye that previously underwent PK 26 months prior for keratoconus. Clinical examination revealed a dense reddish-brown opacity within the PK graft which was associated with deep corneal neovascularization.
J Glaucoma
July 2021
Glaucoma Unit, Innova Ocular ICO Barcelona.
Purpose: To describe 5 representative cases of hemorrhagic Descemet's membrane (DM) detachment in glaucoma surgery that had different origins, mechanisms and treatments.
Methods: Clinical records of patients that had undergone a nonpenetrating glaucoma surgery, with a diagnosis of hemorrhagic DM detachment were reviewed for demographic data, clinical findings and treatment applied.
Results: Five patients with hemorrhagic DM detachment were included in this case series.
Am J Ophthalmol Case Rep
December 2020
Department of Ophthalmology, University Medical Center of the Johannes Gutenberg- University Mainz, Mainz, Germany.
Purpose: To report a female patient of biclonal Lewis syndrome which consists of a trias: biclonal gammopathy of undetermined significance, paraproteinemic keratopathy in form of a brownish discoid opacification at the level of Descemet's membrane and hypercupremia. After several years there was a conversion to multiple myeloma. Systemic chemotherapy led to a complete remission of multiple myeloma and to a normalization of the copper level in the blood that lasted five years.
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April 2019
Glaucoma Research Department, Instituto de Ojos Oftalmosalud, Lima, Peru.
Purpose: To describe a Descemet membrane detachment in peripheral cornea after canaloplasty with ab interno approach in glaucoma.
Case Report: A 60-year-old male with uncontrolled primary open-angle glaucoma (POAG) underwent ab interno canaloplasty in the left eye. The previous corrected visual acuity was 20/400 and intraocular pressure 26 mmHg with maximum medical therapy.
Open Ophthalmol J
July 2018
Agarwal's Refractive and Cornea Foundation,Chennai,India.
Purpose: To assess the advantages offered by the air pump assisted PDEK technique that utilizes pressurized Anterior Chamber (AC) air infusion.
Methods: Pressurized air infusion was provided through an anterior chamber maintainer connected to the fluid air exchange system of a posterior vitrectomy machine during surgery.
Results: Pressurized air infusion within the AC helped perform Descemetorhexis, prevented bleeding during Peripheral Iridectomy (PI) and synechiolysis, prevented oozing of blood from peripheral corneal neovascularization into the AC and thus helped maintain a non-fibrinous AC environment.
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