Descemet´S Detachment As A Late Complication Of Deep Non Penetrating Sclerotomy
Published 2025 - 43rd Congress of the ESCRS
Reference: PO186 | Type: Case Report | DOI: 10.82333/3fjj-j442
Authors: Maria Gessa-Sorroche* 1 , Jose Antonio Aguiar-Caro 2
1Cornea,Miranza Clinic - Hospital university Virgen Macarena,Seville,Spain, 2Cornea,Hospital Universitario Virgen Macarena,Seville,Spain
Purpose
To describe a late complication of deep non perforating sclerotomy in patient who was underwent glaucoma surgery 5 years ago: the Descemet´s membrane detachment with no possibility of reposition
Setting
Cinical case, with photographs and video surgeries
Report of case
Women, 75 year old. Chronic Open angle Glaucoma, not responding to maximum medical therapy. Surgery of deep non penetrating sclerotomy without complications and with good results. 5 years later the patient refers blurred vision. Slit lamp reveals central Descemet´s membrane´s detachment, with superior leak. OCT confirms it. Reposition with air and gas is done with no sucess. First surgery of superior descemetorrhexis is done, trying to cut the leakage of glaucoma surgery, but endothelium fails. So in a second surgery is performed DMEK with success.
Conclusion/Take home message
There are rare complications in glaucoma surgery and one of them is the leakage of acuous humor from trabecular mesh to supra Descemet´s membrane space
Evidence based medicine reccomends different solutions: air and gas reposition, but the best results are associated with DMEK surgery, with an extend descemetorrhexis
In this case we have tried all strategies, but finally with DMEK surgery was the successful way to correct this complication