DESCEMET’S MEMBRANE RUPTURE DUE TO FORCEPS INJURY: MACROSCOPIC ASPECT BY ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY

Published 2022 - 26th ESCRS Winter Meeting

Reference: P120 | Type: Abstracts | DOI: 10.82333/x6jt-zs81

Authors: Ismael Bakkali El Bakkali* ¹ , Pablo Cisneros Arias ¹ , Ana Boned Murillo ¹ , Isabel Bartolomé Sesé ¹ , Francisco Javier Ascaso Puyuelo ¹ , María Ángeles Del Buey Sayas ¹

¹Ophthalmology,Hospital Clinico Universitario Lozano Blesa,Zaragoza,Spain

Purpose

To describe corneal changes after birth trauma from forceps delivery, using anterior segment optical coherence tomography (AS-OCT), in order to reduce the risk of potential anisometropic amblyopia.

Setting

Descemet ruptures due to birth injury are not very usual. Here we present a case to show the importance of not having a proper diagnosis of this finding.

Methods

A 73-year-old female patient came to the ocular surface section consulting for dry eye disease symptoms. At the slit lamp examination, a vertical endothelial stria was observed in the right eye. After an exhaustive anamnesis, the patient referred having a traumatic birth in which forceps had been used.

Results

An AS-OCT was performed, showing a vertical rupture in the Descemet membrane secondary to traumatic birth with forceps.

Conclusion

Descemet’s membrane rupture can cause corneal oedema which usually clears over time, but those ruptures often persist. The residual corneal changes can result in anisometropia and the main cause of vision loss after such injury is anisometropic amblyopia. The AS-OCT is a useful diagnostic tool to detect these alterations at early stages.