PMC6380154_01
Slit-lamp examination shows generalized corneal edema with diffuse illumination (a), and a deep Descemet membrane detachment with slit-beam illumination (b)
OJO-12-46-g001.jpg
PMC6380154_01_OJO-12-46-g001.jpg
F1
Slit-lamp examination showed an intense diffuse corneal edema and a double anterior chamber image [Figure 1a and b].
Diffuse illumination reveals improvement of corneal edema following intracameral sulfur hexafl uoride injection (a). Optical coherence tomography shows a persistent shallow Descemet membrane detachment (b) and a neurosensory detachment of posterior pole (c)
OJO-12-46-g002.jpg
PMC6380154_01_OJO-12-46-g002.jpg
F2
Two days later, corneal edema and DMD had improved [Figure 2a]. DMD [Figure 2b], with detachment deeper on the nasal and superior regions. Detailed fundus examination still was impossible, and posterior segment OCT showed a shallow neurosensory detachment of posterior pole [Figure 2c].
Clinical images show a great improvement of edema and descemetopexy following sulfur hexafluoride and transcorneal sutures (a and b). Fundus image and angiography show diffuse chorioretinal atrophy where the hemorrhage was found (c and d)
OJO-12-46-g003.jpg
PMC6380154_01_OJO-12-46-g003.jpg
F3
SF6 was injected again, and two 10-0 nylon transcorneal sutures were placed in the nasal and superior zones [Figure 3a]. One month later, Descemet membrane was completely attached and corneal edema had disappeared [Figure 3b]. Subretinal fluid had completely disappeared, and chorioretinal atrophy was noticed at the site of previous hemorrhage [Figure 3c and d].
Clinical image shows a demarcation line that surrounds the previously detached Descemet membrane and the intraocular lens opacification
OJO-12-46-g004.jpg
PMC6380154_01_OJO-12-46-g004.jpg
F4
Anterior surface of the lens showed opacification in the central zone [Figures 4 and 5].
Anterior lens opacification was best seen using broad-beam illumination at 45
OJO-12-46-g005.jpg
PMC6380154_01_OJO-12-46-g005.jpg
F5
Anterior surface of the lens showed opacification in the central zone [Figures 4 and 5].