Rupture of Descemet's membrane secondary to presumed forceps trauma |
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| Institution: | 1. Département d''Ophtlalmologie, Centre Hospitalier Universitaire Piite Salpétrière, Paris 75013, France;1. Department of Ophthalmology, Hospital Universitario Austral, Argentina;2. Department of Ophthalmology, University of Buenos Aires, Argentina;1. Resident, Department of Oral Maxillofacial Surgery, Texas Medical Center, University of Texas at Houston, Houston, TX;2. Chief Resident and Captain, USAF, Department of Oral and Maxillofacial Surgery, San Antonio Military Medical Center, Fort Sam Houston, Houston, TX;3. Resident, Department of Oral Maxillofacial Surgery, Texas Medical Center, University of Texas at Houston, Houston, TX;4. Assistant Professor, Department of Oral and Maxillofacial Surgery, Texas Medical Center, University of Texas at Houston, Houston, TX;1. Retina Service, New England Eye Center, Tufts Medical Center, Boston, Massachusetts;2. Retina Service, Ophthalmic Consultants of Boston, Boston, Massachusetts;1. Department of Ophthalmology, Regional University Hospital of Besançon, Besançon, France;2. Clinical Investigation Center - Inserm CIC1431, Regional University Hospital of Besançon, FHU “InCREASe” (INtegrated Center for Research in inflammatory diseASEs), Besançon, France;3. EA 4266, “Pathogenic Agents and Inflammation,” University of Franche-Comté, Besançon, France;4. UMR 1098, Inserm/French Blood Services (EFS)/Burgundy Franche-Comté/University of Franche-Comté, Besançon, France;5. Department of Biostatistics and Medical Informatics (Service de Biostatistique et d''Informatique Médicale – DIM), Regional University Hospital of Dijon, University of Burgundy, Dijon, France;6. Clinical Research and Innovation Delegation (DRCI), Regional University Hospital of Besançon, Besançon, France |
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| Abstract: | Ruptures in Descemet's membrane can occur secondary to forceps injury at birth, prolonged labor, blunt trauma, keratoconus, and congenital glaucoma as well as other less frequent causes. The rupture initially causes acute comeal hydrops which resolves within weeks to leave permanent linear thickening of Descemet's membrane. It is important to differentiate Descemet's rupture from other entities like syphilitic interstitial keratitis, posterior polymorphous dystrophy and congenital hereditary endothelial dystrophy which may have a similar clinical presentation. Although treatment is rarely required, proper diagnosis is important to prevent unnecessary referrals and provide appropriate counseling. This case report examines a 66-year-old female with Descemet's rupture secondary to presumed forceps trauma at birth. Discussion of clinical presentation, differential diagnosis and clinical management are presented. |
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