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Nontraumatic Descemet Membrane Detachment with Tear in Osteogenesis Imperfecta.

Polat N, Ulucan PB - Ophthalmol Ther (2015)

Bottom Line: It was thought that monitoring the patient without intervention and only considering a surgical procedure if the disorder progressed was the best option, taking into account the patient's reasonable visual acuity and the risks of keratoplasty.The dimensions of the DMD and tear had remained the same at 1-year follow-up period.We believe that follow-up without intervention should be considered for non-progressive DMD with a giant tear if the patient has a single functional eye.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Medical Faculty, Inonu University, 44 280, Malatya, Turkey, drnihatpolat@gmail.com.

ABSTRACT
We report the first case of unilateral spontaneous Descemet membrane detachment (DMD) with tear occurring in a patient with osteogenesis imperfecta (OI). A 20-year-old male patient with OI presented with a history of recent primary repair (2 weeks prior) of left globe rupture following local finger trauma to the left eye. The patient had no history of other ocular surgery or trauma. The examination revealed a best corrected visual acuity of 20/40 in the right and no light perception in the left eye. Slit-lamp examination showed an oval giant Descemet tear extending from the 12 o'clock to the 5 o'clock area and a large DMD involving the upper and nasal quadrants in the right cornea. It was thought that monitoring the patient without intervention and only considering a surgical procedure if the disorder progressed was the best option, taking into account the patient's reasonable visual acuity and the risks of keratoplasty. The dimensions of the DMD and tear had remained the same at 1-year follow-up period. We believe that follow-up without intervention should be considered for non-progressive DMD with a giant tear if the patient has a single functional eye.

No MeSH data available.


Related in: MedlinePlus

Scheimpflug image of the right eye showing osteogenesis imperfecta and Descemet membrane detachment
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Fig4: Scheimpflug image of the right eye showing osteogenesis imperfecta and Descemet membrane detachment

Mentions: A Scheimpflug image of the right eye confirmed DMD with tear (Fig. 4). There were no symptoms in the right eye other than significant photosensitivity. The patient was advised to wear sunglasses at all times and was followed up without any medical treatment or surgical intervention for the right eye. He was advised to stay away from activities that could lead to trauma. There was no change in symptoms or ocular features at the 1-month follow up. The dimensions of the DMD with tear had remained the same. BCVA of right eye was 20/40, intraocular pressure was 20 mmHg, and the dimensions of the DMD and tear had remained unchanged at 1-year follow-up. The patient was followed up at 3-month intervals and with the same recommendations.Fig. 4


Nontraumatic Descemet Membrane Detachment with Tear in Osteogenesis Imperfecta.

Polat N, Ulucan PB - Ophthalmol Ther (2015)

Scheimpflug image of the right eye showing osteogenesis imperfecta and Descemet membrane detachment
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4470985&req=5

Fig4: Scheimpflug image of the right eye showing osteogenesis imperfecta and Descemet membrane detachment
Mentions: A Scheimpflug image of the right eye confirmed DMD with tear (Fig. 4). There were no symptoms in the right eye other than significant photosensitivity. The patient was advised to wear sunglasses at all times and was followed up without any medical treatment or surgical intervention for the right eye. He was advised to stay away from activities that could lead to trauma. There was no change in symptoms or ocular features at the 1-month follow up. The dimensions of the DMD with tear had remained the same. BCVA of right eye was 20/40, intraocular pressure was 20 mmHg, and the dimensions of the DMD and tear had remained unchanged at 1-year follow-up. The patient was followed up at 3-month intervals and with the same recommendations.Fig. 4

Bottom Line: It was thought that monitoring the patient without intervention and only considering a surgical procedure if the disorder progressed was the best option, taking into account the patient's reasonable visual acuity and the risks of keratoplasty.The dimensions of the DMD and tear had remained the same at 1-year follow-up period.We believe that follow-up without intervention should be considered for non-progressive DMD with a giant tear if the patient has a single functional eye.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Medical Faculty, Inonu University, 44 280, Malatya, Turkey, drnihatpolat@gmail.com.

ABSTRACT
We report the first case of unilateral spontaneous Descemet membrane detachment (DMD) with tear occurring in a patient with osteogenesis imperfecta (OI). A 20-year-old male patient with OI presented with a history of recent primary repair (2 weeks prior) of left globe rupture following local finger trauma to the left eye. The patient had no history of other ocular surgery or trauma. The examination revealed a best corrected visual acuity of 20/40 in the right and no light perception in the left eye. Slit-lamp examination showed an oval giant Descemet tear extending from the 12 o'clock to the 5 o'clock area and a large DMD involving the upper and nasal quadrants in the right cornea. It was thought that monitoring the patient without intervention and only considering a surgical procedure if the disorder progressed was the best option, taking into account the patient's reasonable visual acuity and the risks of keratoplasty. The dimensions of the DMD and tear had remained the same at 1-year follow-up period. We believe that follow-up without intervention should be considered for non-progressive DMD with a giant tear if the patient has a single functional eye.

No MeSH data available.


Related in: MedlinePlus