PMC6500600_01
(A) First day after the surgery. Picture of the slit lamp showing a Descemet membrane detachment with partial intrastromal hemorrhage. (B) Gonioscopy evidencing Descemet detachment with intrastromal hemorrhage, 1st day after the surgery. (C) Gonioscopy evidencing Descemet detachment with intrastromal hemorrhage 1st month after the surgery with a reduction of the extent of the injury. (D) OCT of anterior segment (Visante, Model 1000, Carl Zeiss Meditec, Dublin CA, USA), showing intrastromal hemorrhage. (E) OCT Anterior Section, second week after the surgery (4 January 2018). (F) OCT Anterior Section, sixth week after the surgery (2 February 2018). (G) OCT Anterior Section, tenth week after the surgery (1 March 2018). (H) OCT Anterior Section, twelfth week after the surgery (19 March 2018).
CRIOPM2019-3653954.001.jpg
PMC6500600_01_CRIOPM2019-3653954.001.jpg
fig1
At first we opted for observation because the injury did not compromise the visual axis and the size of the detachment was not large enough to indicate a surgical procedure immediately (Figure 1(A)). The examination evidenced presence of blood in the peripheral inferonasal quadrant of the pre-Descemet area at hours 4-6 (Figures 1(D), 1(E), 1(F), 1(G), and 1(H)).