Management of Descemet Membrane Detachment After Forceps Birth Injury.

Abstract:

PURPOSE:To describe the clinical signs of Descemet membrane (DM) detachment due to forceps-related birth injury and its subsequent management using optical coherence tomography. METHODS:Case report. RESULTS:A 3-day-old term infant presented with left eye corneal clouding and a definitive history of traumatic forceps-assisted delivery. Despite topical therapy, corneal clouding persisted, necessitating an examination under anesthesia using ultrasound and handheld optical coherence tomography. This revealed not only a tear in DM but also a large detachment. Injection of air alone failed to achieve apposition of DM to the posterior stroma. Apposition was achieved only after penetration of the overlying cornea with the needle of a 10-0 nylon suture and release of clear viscous fluid. The cornea cleared within the first week and continued in the months to follow. CONCLUSIONS:Prolonged corneal edema should alert the physician to probable DM detachment after forceps-related birth injury. Injecting air alone may not be sufficient to reattach the detached DM.

journal_name

Cornea

journal_title

Cornea

authors

Kancherla S,Shue A,Pathan MF,Sylvester CL,Nischal KK

doi

10.1097/ICO.0000000000001147

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

375-376

issue

3

eissn

0277-3740

issn

1536-4798

journal_volume

36

pub_type

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