Bergsma D R, McCaa C S
Department of Ophthalmology, University of Mississippi Medical Center, Jackson 39216, USA.
Ophthalmology. 1996 Apr;103(4):678-80. doi: 10.1016/s0161-6420(96)30634-9.
To describe a corneal complication and its surgical repair after holmium laser sclerostomy.
A 63-year-old woman had extensive detachment of Descemet membrane 3 months after holmium laser sclerostomy. The authors describe the case history of a detached Descemet membrane secondary to holmium laser sclerostomy and its subsequent repair.
The patient achieved a visual acuity of 20/20 in the involved eye after descemetopexy with sodium hyaluronate and air combined with suturing.
Detachment of the Descemet membrane should be recognized as a potential complication of holmium laser sclerostomy. Suturing should be considered as a method of repair if there is not spontaneous reattachment of the Descemet membrane.