Descemet membrane detachment after viscocanalostomy

PURPOSE: To report a case that developed a large Descemet membrane detachment after viscocanalostomy, METHODS: Case report. A 60-year-old man with primary open-angle glaucoma underwent viscocanalostomy RE. One day after surgery, a small, localized detachment of Descemet membrane was present at the operation site. Six months after surgery, he had a large superior Descemet membrane detachment involving his visual axis. RESULTS: The Descemet membrane remained attached after descemetopexy with sodium hyaluronate and air. Final visual acuity was 20/80, and intraocular pressure was 17 mm Hg without medication, CONCLUSION: Detachment of the Descemet membrane should be recognized as a potential complication of viscocanalostomy, (C) 2000 by Elsevier Science Inc. All rights reserved.