Faisal A. Almobarak
King Saud University, Saudi Arabia
Title: Incidence, management and visual outcomes of haemorrhagic Descemet membrane detachment in canaloplasty and phacocanaloplasty
Biography
Biography: Faisal A. Almobarak
Abstract
Objective & Purpose: To report the incidence and management of hemorrhagic descemet membrane detachment (HDMD) in canaloplasty and phacocanaloplasty.
Materials & Methods: This study included 105 eyes of 92 patients with uncontrolled open angle glaucoma who underwent canaloplasty and phacocanaloplasty between 2010 and 2014. Eyes that developed either HDMD or non-HDMD were identified. The main outcome measures were the development of HDMD and non-HDMD best corrected visual acuity, recovery time after descemet membrane detachment (DMD), intra-ocular pressure (IOP) and number of anti-glaucoma medications. Each eye was managed according to the time of development, type and extent of DMD.
Results: Ten eyes (9.5%) developed DMD- four eyes underwent canaloplasty (3.8%) and six eyes underwent phacocanaloplasty (5.7%). Three of 10 eyes developed non-HDMD while seven of 10 developed HDMD, the majority of HDMD cases occurred in combination with phacocanaloplasty (five of seven). The non-HDMD eyes resolved completely within 2 weeks without intervention. One eye with HDMD was observed for 2 weeks, before a 15% sulphur hexafluoride (SF6) intra-cameral injection was given. The patient developed a dense corneal stain that was resolving slowly over 30 months. One eye with HDMD underwent YAG laser membranotomy, 2 weeks after being identified, which regained corneal transparency 1 month after treatment, while the remaining five eyes underwent immediate surgical drainage and regained corneal transparency 1day post-procedure.