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Late Onset Descemet Membrane Detachment after Radial Keratotomy Resolved with Medical Therapy
- Source :
- Case Reports in Ophthalmological Medicine, Case Reports in Ophthalmological Medicine, Vol 2017 (2017)
- Publication Year :
- 2017
- Publisher :
- Hindawi, 2017.
-
Abstract
- Purpose. To report a case of a Descemet membrane’s (DM) detachment after radial keratotomy (RK).Methods. A patient (male) underwent RK (16 cuts) 20 years before referring to the Eye Center of Humanitas (Milan) for a progressive visual loss. The slit-lamp examination showed severe corneal stromal edema and a large DM detachment in the lower half of the cornea. Anterior segment optical coherence tomography (AS-OCT) and endothelial cells count confirmed DM detachment and endothelial cells damage. Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) was planned and topical hypertonic therapy was prescribed before the surgery.Results. Eight months later, the patient mentioned a spontaneous increase in visual acuity; the slit-lamp examination and the AS-OCT displayed a recovery of corneal transparency with a resolution of DM detachment.Conclusions. This is the first report of spontaneous DM detachment with severe corneal edema after RK. We suggest that hypertonic therapy may reduce DM detachment and restore corneal transparency.
- Subjects :
- medicine.medical_specialty
Visual acuity
Descemet membrane
genetic structures
medicine.medical_treatment
Late onset
Case Report
03 medical and health sciences
0302 clinical medicine
lcsh:Ophthalmology
Ophthalmology
Cornea
medicine
Corneal stromal edema
business.industry
General Medicine
Lower half
eye diseases
Surgery
Radial keratotomy
medicine.anatomical_structure
lcsh:RE1-994
030221 ophthalmology & optometry
sense organs
medicine.symptom
business
Medical therapy
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 20906730 and 20906722
- Volume :
- 2017
- Database :
- OpenAIRE
- Journal :
- Case Reports in Ophthalmological Medicine
- Accession number :
- edsair.doi.dedup.....2530512e57548c4f6db25b5ea8d0dc19