Work

Spontaneous hemorrhagic Descemet membrane detachment: Imaging, diagnosis, and management

Year: 2025

Type: article

Abstract: Purpose: To describe unique features surrounding the etiology, diagnosis, and management of a rare presentation of hemorrhagic detachment of Descemet membrane. Observations: A 91-year-old woman with chronic marginal corneal degeneration and corneal neovascularization of both eyes presented with hemorrhagic detachment of Descemet membrane of the right eye. Conclusions and Importance: This case highlights the need to consider pre-Descemet hemorrhage on the differential diagnosis for anterior segment hemorrhage even in the absence of risk factors such as surgery and trauma. This case, initially thought to represent a hyphema, underscores the importance of anterior segment imaging in accurate diagnosis and monitoring of this condition. Lastly, this case illustrates a management approach that successfully cleared the hemorrhage, reattached Descemet membrane, and restored visual acuity without keratoplasty.

Source: American Journal of Ophthalmology Case Reports

DOI: 10.1016/j.ajoc.2025.102337

Authors: Tomas Andersen, Laura Barna, Levi N. Kanu

Institutions: Massachusetts Eye and Ear Infirmary, Harvard University

Language: English

Topic: Corneal surgery and disorders

Subfield: Radiology, Nuclear Medicine and Imaging

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,590