PMC4155894_01
Slit-lamp color photographs at presentation 11 months after phacoemulsification.. Notes: (A) Healed temporal corneal incision wound, with stromal edema nasal to this site and extending centrally through the visual axis. Note the anterior corneal incision. (B) Descemet's membrane dehiscence at the site of clear cornea cataract incision.
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Stromal edema was noted just nasally to this site, which extended centrally through the visual axis (Figure 1).
Slit-lamp color photographs 18 months after phacoemulsification.. Notes: (A) Persistent microcystic stromal edema extending centrally from the healed temporal corneal incision wound. (B) Descemet's membrane tear and detachment at the site of the surgical wound.
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The exam revealed a best-corrected visual acuity of 20/200 in the left eye, intraocular pressure of 18 mmHg, and microcystic corneal edema extending from the site of the Descemet's tear (Figure 2).
Histopathologic photomicrographs.. Notes: (A) Histologic examination demonstrates Descemet's membrane (arrows) detached from the edematous corneal stroma. The asterisk shows disruption in Descemet's membrane (hematoxylin and eosin, original magnification 40x). (B) Arrows denote Descemet's membrane detachment (hematoxylin and eosin, original magnification 100x).
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The remainder of Descemet's membrane was partially detached from the corneal stroma (Figure 3).