Imaging of descemet membrane detachment after trabeculectomy using slit-lamp-adapted optical coherence tomography
- PMID: 20010240
- DOI: 10.1097/IJG.0b013e31819c469e
Imaging of descemet membrane detachment after trabeculectomy using slit-lamp-adapted optical coherence tomography
Abstract
Purpose: To report the use of slit-lamp-adapted optical coherence tomography (SL-OCT) in imaging 2 patients with Descemet membrane detachment following anterior chamber reformation after trabeculectomy.
Methods: Two patients, with leaking and overfiltering blebs, respectively, developed Descemet detachments after reformation of flat anterior chambers with viscoelastics. Slit-lamp biomicroscopy and SL-OCT were used to diagnose and monitor posttreatment outcome.
Results: Biomicroscopic evaluation and SL-OCT imaging of the cornea revealed a Descemet detachment in both cases. One patient underwent intracameral air injection. Follow-up SL-OCT imaging revealed reattachment of Descemet membrane and reduced corneal thickness.
Conclusions: SL-OCT can be used to document and follow postsurgical detachment of Descemet membrane.
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