Management of Descemet Membrane Detachment after Forceps Birth Injury

Swarupa Kancherla, Ann Shue, Mohammad Faizan Pathan, Christin L. Sylvester, Ken K. Nischal

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)375-376
Number of pages2
JournalCornea
Volume36
Issue number3
DOIs
StatePublished - Mar 1 2017

Keywords

  • Descemet membrane
  • forceps injury
  • optical coherence tomography

ASJC Scopus subject areas

  • Ophthalmology

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