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Descemet Membrane Detachment After Canaloplasty: Incidence and Management

Jaramillo, Arley MD; Foreman, Julie MD; Ayyala, Ramesh S. MD, FRCS, FRCOphth

doi: 10.1097/IJG.0b013e318279ca7f
Original Studies

Purpose: To report the incidence and management of Descemet membrane detachment (DMD) after canaloplasty.

Methods: Review of all patients who developed DMD after canaloplasty at Tulane Glaucoma Services was performed. Visual acuity, intraocular pressure, and number of glaucoma medications up to 1 year of follow-up were included in the analysis.

Results: The incidence of DMD was 7.4% (12 eyes of 162). Eighty-three percent (10/12) of the DMDs involved the inferior quadrants and measured <3 mm. Intracorneal hemorrhage within DMD occurred in 58% (7/12), whereas 42% (5/12) developed DMD with intracorneal viscoelastic (Healon GV) alone. Two patients had large detachments measuring 5 to 6 mm extending into the visual axis. DMD resolved completely with or without drainage except for 1 patient who developed corneal decompensation, needing penetrating keratoplasty.

Conclusions: DMD with or without intracorneal hemorrhage is not an infrequent complication of canaloplasty and can occasionally lead to corneal decompensation.

Glaucoma Service, Department of Ophthalmology, Tulane University Medical Center, New Orleans, LA

Supported in part by the Tulane Glaucoma Research Fund.

Presented in part as a poster at the Association for Research in Vision and Ophthalmology Annual Meeting, Fort Lauderdale, FL, May 2009.

Disclosure: R.S.A. was a consultant to iScience Interventional. The remaining authors declare no conflict of interest.

Reprints: Ramesh S. Ayyala, MD, FRCS, FRCOphth, Glaucoma Service, Department of Ophthalmology, Tulane University Medical Center, 1430 Tulane Avenue, SL-69, New Orleans, LA 70112 (e-mail: rayyala@tulane.edu).

Received March 12, 2012

Accepted October 9, 2012

© 2014 by Lippincott Williams & Wilkins.