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Late-onset descemet membrane detachment and corneal decompensation after laser peripheral iridotomy: A case report.

Abstract The incidence of cornea disorders after laser peripheral iridotomy (LPI) is extremely low. However, cornea Descemet membrane detachment (DMD) combined with corneal decompensation after LPI could still occur.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29517673
OWN - NLM
STAT- MEDLINE
DCOM- 20180326
LR  - 20180326
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 10
DP  - 2018 Mar
TI  - Late-onset descemet membrane detachment and corneal decompensation after laser
      peripheral iridotomy: A case report.
PG  - e0083
LID - 10.1097/MD.0000000000010083 [doi]
AB  - RATIONALE: The incidence of cornea disorders after laser peripheral iridotomy
      (LPI) is extremely low. However, cornea Descemet membrane detachment (DMD)
      combined with corneal decompensation after LPI could still occur. PATIENT
      CONCERNS: A 69-year-old Chinese woman presented with persistent widespread
      corneal edema and inferior bullous lesions in her right eye for half a year. She 
      had undergone LPI in both eyes 10 years ago for a prophylactic treatment. The
      patient received a detailed examination of vivo corneal confocal microscopy and
      sept-source optical coherence tomography (SS-OCT). DIAGNOSES: It was a late-onset
      DMD that has a positional relationship with LPI, combined with corneal
      decompensation. INTERVENTION: Treatment was only supportive with artificial tears
      and soft contact lenses. OUTCOMES: This patient declined to accept keratoplasty
      because of financial difficulties. LESSONS: Laser peripheral iridotomy may cause 
      spontaneous, late-onset DMD and corneal decompensation. Ophthalmologists should
      be aware of this potential complication and proceed carefully. A careful
      examination of cornea especially around the LPI before keratoplasty seems to be
      necessary to circumvent other complication.
FAU - Fu, Yana
AU  - Fu Y
AD  - School of Ophthalmology and Eye Hospital, Wenzhou Medical University, Wenzhou.
FAU - Zhou, Wuying
AU  - Zhou W
AD  - QuZhou Yishi Eye Hospital, QuZhou, Zhejiang, China.
FAU - Li, Wei
AU  - Li W
AD  - QuZhou Yishi Eye Hospital, QuZhou, Zhejiang, China.
FAU - Lin, Xiaolei
AU  - Lin X
AD  - School of Ophthalmology and Eye Hospital, Wenzhou Medical University, Wenzhou.
FAU - Dai, Qi
AU  - Dai Q
AD  - School of Ophthalmology and Eye Hospital, Wenzhou Medical University, Wenzhou.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Cornea/pathology
MH  - Corneal Diseases/*etiology/pathology/surgery
MH  - Descemet Membrane/*pathology
MH  - Female
MH  - Humans
MH  - Laser Therapy/*adverse effects
MH  - Ophthalmologic Surgical Procedures/*adverse effects/methods
MH  - Tomography, Optical Coherence
EDAT- 2018/03/09 06:00
MHDA- 2018/03/27 06:00
CRDT- 2018/03/09 06:00
PHST- 2018/03/09 06:00 [entrez]
PHST- 2018/03/09 06:00 [pubmed]
PHST- 2018/03/27 06:00 [medline]
AID - 10.1097/MD.0000000000010083 [doi]
AID - 00005792-201803090-00018 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Mar;97(10):e0083. doi: 10.1097/MD.0000000000010083.