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Case Reports in Ophthalmological Medicine
Volume 2019, Article ID 3653954, 4 pages
https://doi.org/10.1155/2019/3653954
Case Report

Hemorrhagic Descemet Membrane Detachment during Ab Interno Canaloplasty

1Glaucoma Research Department, Instituto de Ojos Oftalmosalud, Lima, Peru
2Glaucoma Department, Instituto de Ojos Oftalmosalud, Lima, Peru

Correspondence should be addressed to Bárbara Rubio Lastra; moc.liamg@arabrab.oibur

Received 5 December 2018; Revised 8 March 2019; Accepted 31 March 2019; Published 21 April 2019

Academic Editor: Nicola Rosa

Copyright © 2019 Juan Carlos Izquierdo Villavicencio et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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. There was evidence of minor intrastromal bleeding and limited Descemet membrane detachment during the introduction of intracanalicular viscoelastic. Speculate that the Descemet detachment occurred owing to the excessive pressure while injecting the viscoelastic. A conservative management was decided due to the size of the detachment outside the visual axis. On the first postsurgical day, the slit lamp biomicroscopy confirmed that the paralimbal extension of the pre-Descemet hemorrhage was 3mm and the radial extension was 2mm. Moreover the initial thickness of the pre-Descemet hemorrhage measurement with anterior segment OCT was 0.6mm. The follow-up was done weekly. At 3 months postoperatively, cornea recovered its transparency and morphology and intraocular pressure was 18mmHg with maximum medical therapy. Conclusion. Descemet membrane detachment by viscoelastic with partial intrastromal hematoma is a rare complication of the ab interno canaloplasty, which can be managed conservatively if it has not compromised the visual axis and has a limited extension.