Hematoma pre-descemético tras EPNP, tratado mediante membranotomía de la Descemet y hallazgos de OCT de segmento anterior: presentación de 2 casos clínicos / Descemet membranotomy to treat pre-descemet haematoma after deep sclerectomy and anterior segment-OCT related findings: A presentation of two clinical cases
Arch. Soc. Esp. Oftalmol
; 92(1): 44-48, ene. 2017. ilus
Article
in Spanish
| IBECS
| ID: ibc-159167
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
CASO CLÍNICO Mujer de 81 años y varón de 63, que desarrollan un hematoma pre-descemético (HPD) tras una esclerectomía profunda no perforante (EPNP), la primera durante la cirugía y el segundo durante el postoperatorio precoz. Se describe la técnica quirúrgica que permite tanto la evacuación del hematoma como la preservación de la integridad de la membrana trabéculo-descemética. Se presentan los hallazgos de OCT de segmento anterior tras la cirugía. Discusión:
Describimos los primeros casos del HPD tras EPNP, manejados exitosamente con una membranotomía ab interno de Descemet. Se debe estar alerta ante esta rara complicación, potencialmente amenazadora para la visiónABSTRACT
CASE PRESENTATION An 81 year-old woman and a 63 year-old man developed a pre-Descemet haematoma after deep sclerectomy (DS), the former during the surgery itself and the latter during the early post-operative period. The surgical technique is decribed that led to the evacuation of the haematoma and the preservation of the integrity of trabeculo-Descemet membrane. The anterior-segment OCT findings after surgery are also presented. Conclusions:
These are the first reported cases of pre-Descemet haematoma after DS that have been successfully repaired by an ab interno Descemet membranotomy. Surgeons should be aware of this rare, but potentially sight-threatening, complication
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Sclera
/
Descemet Membrane
/
Hematoma
Type of study:
Diagnostic study
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Arch. Soc. Esp. Oftalmol
Year:
2017
Document type:
Article
Institution/Affiliation country:
Universidad de Alcalá/España