Spontaneous hemorrhagic Descemet membrane detachment: Imaging, diagnosis, and management.
Publication/Presentation Date
6-1-2025
Abstract
PURPOSE: To describe unique features surrounding the etiology, diagnosis, and management of a rare presentation of hemorrhagic detachment of Descemet membrane.
OBSERVATIONS: A 91-year-old woman with chronic marginal corneal degeneration and corneal neovascularization of both eyes presented with hemorrhagic detachment of Descemet membrane of the right eye.
CONCLUSIONS AND IMPORTANCE: This case highlights the need to consider pre-Descemet hemorrhage on the differential diagnosis for anterior segment hemorrhage even in the absence of risk factors such as surgery and trauma. This case, initially thought to represent a hyphema, underscores the importance of anterior segment imaging in accurate diagnosis and monitoring of this condition. Lastly, this case illustrates a management approach that successfully cleared the hemorrhage, reattached Descemet membrane, and restored visual acuity without keratoplasty.
Volume
38
First Page
102337
Last Page
102337
ISSN
2451-9936
Published In/Presented At
Andersen, T., Barna, L., & Kanu, L. N. (2025). Spontaneous hemorrhagic Descemet membrane detachment: Imaging, diagnosis, and management. American journal of ophthalmology case reports, 38, 102337. https://doi.org/10.1016/j.ajoc.2025.102337
Disciplines
Medicine and Health Sciences
PubMedID
40290852
Department(s)
Department of Medicine
Document Type
Article