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Case Reports
. 2025 Jul 1;34(7):e34-e37.
doi: 10.1097/IJG.0000000000002551. Epub 2025 Feb 11.

Hemorrhagic Descemet's Membrane Detachment After Gonioscopy-Assisted Transluminal Trabeculotomy

Gunsu D Mirza  1 , Enver Mirza  2
Affiliations
Case Reports

Hemorrhagic Descemet's Membrane Detachment After Gonioscopy-Assisted Transluminal Trabeculotomy

Gunsu D Mirza et al. J Glaucoma. .

Abstract

Purpose: To report a rare case of hemorrhagic Descemet's membrane detachment (DMD) after gonioscopy-assisted transluminal trabeculotomy (GATT) and to discuss its management.

Methods: A 71-year-old male patient with advanced pseudoexfoliation glaucoma and dense cataract was planned to perform combined GATT and cataract extraction. DMD was noticed after blood reflux from Schlemm canal during GATT. Circumferential ab-interno trabeculotomy was completed and DMD was reattached with air tamponade. Cataract extraction was postponed to prevent the progression of DMD.

Results: Hemorrhagic DMD was monitored during a 3-month follow-up. Spontaneous resorption was not observed. A side port incision was made at the site of hemorrhagic DMD during cataract extraction. The space upon DM was washed out with a balanced salt solution to allow drainage of the hemorrhage and an air bubble was left in the anterior chamber. On the first postoperative day after cataract extraction, DM was observed to be attached and the hemorrhage had disappeared completely.

Conclusions: Hemorrhagic DMD is an unusual complication after GATT and it may be challenging to manage. Surgeons who perform GATT should be aware of this rare corneal complication.

Keywords: Descemet’s membrane detachment; ab-interno trabeculotomy; gonioscopy-assisted transluminal trabeculotomy; minimally invasive glaucoma surgery.

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Conflict of interest statement

Disclosure: The authors declare no conflict of interest.

References

    1. Cakir I, Balci AS, Alagoz N, et al. Efficacy of gonioscopy-assisted transluminal trabeculotomy and trabeculectomy in patients with primary open-angle glaucoma and pseudoexfoliative glaucoma: a single surgeon’s experience. Indian J Ophthalmol. 2024;72(suppl 5):S821–S826.
    1. Gunay M, Kurt IM, Turk A, et al. Comparison of clinical outcomes between gonioscopy-assisted transluminal trabeculotomy and trabeculectomy in advanced-stage pseudoexfoliation glaucoma. Graefes Arch Clin Exp Ophthalmol. 2024;262:567–574.
    1. Grover DS, Smith O, Fellman RL, et al. Gonioscopy-assisted transluminal trabeculotomy: an ab interno circumferential trabeculotomy: 24 months follow-up. J Glaucoma. 2018;27:393–401.
    1. Aktas Z, Bektas C, Hasanreisoglu M. Panscleritis as an unusual complication of gonioscopy-assisted transluminal trabeculotomy. J Glaucoma. 2019;28:e21–e23.
    1. Ozmen MC, Acar B, Uysal BS. Wipe-out following gonioscopy-assisted transluminal trabeculotomy combined with phacoemulsification. J Glaucoma. 2024;34:58–60.

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