Management of Descemet Membrane Detachment After Forceps Birth Injury
| Autor: | Ken K. Nischal, Christin L. Sylvester, Ann Shue, Swarupa Kancherla, Mohammad Faizan Pathan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty 040301 veterinary sciences Forceps Ophthalmologic Surgical Procedures Obstetrical Forceps 0403 veterinary science 03 medical and health sciences 0302 clinical medicine Corneal Opacity Eye Injuries Ophthalmology Cornea Birth Injuries medicine Humans Descemet Membrane business.industry Ultrasound Corneal Edema Infant Newborn 04 agricultural and veterinary sciences medicine.disease eye diseases Birth injury Surgery Apposition medicine.anatomical_structure Term Infant 030221 ophthalmology & optometry Examination Under Anesthesia sense organs Forceps Injury business Tomography Optical Coherence Follow-Up Studies |
| Zdroj: | Cornea. 36(3) |
| ISSN: | 1536-4798 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|