|Year : 2021 | Volume
| Issue : 4 | Page : 874
Rajat M Srivastava, Shaurya Verma, Siddharth Agrawal
Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh, India
|Date of Web Publication||09-Oct-2021|
Dr. Rajat M Srivastava
Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Srivastava RM, Verma S, Agrawal S. Misplaced bleb!. Indian J Ophthalmol Case Rep 2021;1:874
On first postoperative day after an uneventful trabeculectomy, corneal examination revealed a localized Descemet detachment with a small intracorneal air bubble giving it a bleb like appearance [Figure 1]. Various factors have been implicated for causing Descemet detachment during trabeculectomy. This case highlights that inadvertent Descemet tear along with intrastromal air entrapment while intracameral air injection through a valvular, oblique paracentesis incision may result in such a localized detachment. With subsequent reduction in size of intracameral air, entrapped intrastromal air would have expanded into the potential space making the detachment more apparent.
|Figure 1 : (a and b) Slit and diffuse illumination showing localized Descemet detachment and intra-cameral air bubble; (c) Magnified cross-sectional view of Descemet detachment; (d) Resolved Descemet detachment on 4th postop day|
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| References|| |
Chow VW, Agarwal T, Vajpayee RB, Jhanji V. Update on diagnosis and management of Descemet's membrane detachment. Curr Opin Ophthalmol 2013;24:356-61.