000127800 001__ 127800
000127800 005__ 20241125101145.0
000127800 0247_ $$2doi$$a10.3390/jcm12175461
000127800 0248_ $$2sideral$$a134918
000127800 037__ $$aART-2023-134918
000127800 041__ $$aeng
000127800 100__ $$aOrejudo de Rivas, Marta
000127800 245__ $$aDescemet’s Membrane Detachment during Phacocanaloplasty: Case Series and In-Depth Literature Review
000127800 260__ $$c2023
000127800 5060_ $$aAccess copy available to the general public$$fUnrestricted
000127800 5203_ $$aThis article presents three cases of Descemet’s membrane detachment (DMD) occurring during ‘ab externo’ phacocanaloplasty procedures in three patients with uncontrolled primary open-angle glaucoma (OAG) and discusses the management of this condition by reviewing the available literature. Following a successful 360° cannulation of Schlemm’s canal (SC), the microcatheter was withdrawn while an ophthalmic viscosurgical device (OVD) was injected into the canal. During passage through the inferonasal quadrant, a spontaneous separation of the posterior layer of the cornea was observed. Each case was managed differently after diagnosis, with the third case being drained intraoperatively based on experience gained from the previous cases. On the first postoperative day, slit-lamp biomicroscopy (BMC) revealed multiple DMDs in case one and a hyphema in the lower third of a deep anterior chamber. In the other two cases, a single DMD was observed. The second case developed hemorrhagic Descemet membrane detachment (HDMD), while the other two were non-hemorrhagic. In all three cases, anterior segment optical coherence tomography (AS-OCT) revealed the presence of retrocorneal hyperreflective membranes indicative of DMDs. These membranes were located in the periphery of the cornea and did not impact the visual axis. After evaluation, a small incision was made in the inferotemporal DMD of the first case. However, for the two remaining cases, a strategy of watchful waiting was deemed appropriate due to the location and size of the DMDs, as they did not affect the best-corrected visual acuity (BCVA). Over time, the patients demonstrated progressive improvement with a gradual reduction in the size of the DMDs.
000127800 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000127800 590__ $$a3.0$$b2023
000127800 592__ $$a0.882$$b2023
000127800 591__ $$aMEDICINE, GENERAL & INTERNAL$$b59 / 329 = 0.179$$c2023$$dQ1$$eT1
000127800 593__ $$aMedicine (miscellaneous)$$c2023$$dQ1
000127800 594__ $$a5.7$$b2023
000127800 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000127800 700__ $$aMartínez Morales, Juana
000127800 700__ $$0(orcid)0000-0002-4406-1791$$aPardina Claver, Elena$$uUniversidad de Zaragoza
000127800 700__ $$aPérez García, Diana
000127800 700__ $$aPérez Navarro, Itziar
000127800 700__ $$0(orcid)0000-0001-9876-5850$$aAscaso Puyuelo, Francisco J.$$uUniversidad de Zaragoza
000127800 700__ $$aAramburu Clavería, Julia
000127800 700__ $$aIbáñez Alperte, Juan
000127800 7102_ $$11013$$2646$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Oftalmología
000127800 773__ $$g12, 17 (2023), 5461$$pJ. clin.med.$$tJournal of Clinical Medicine$$x2077-0383
000127800 8564_ $$s3283719$$uhttps://zaguan.unizar.es/record/127800/files/texto_completo.pdf$$yVersión publicada
000127800 8564_ $$s2908858$$uhttps://zaguan.unizar.es/record/127800/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000127800 909CO $$ooai:zaguan.unizar.es:127800$$particulos$$pdriver
000127800 951__ $$a2024-11-22-12:04:23
000127800 980__ $$aARTICLE