Bleeding during gonioscopy after deep sclerectomy
Moreno-Montañés J, Rodríguez-Conde R.
Department of Ophthalmology, Clinica Universitaria, University of Navarra, Pamplona, Spain.
To show a new complication after deep sclerectomy (DS).
We described two eyes of two patients with open-angle glaucoma and cataract who were operated on of an uneventful phacoemulsification and DS with SK-gel implantation.
Bleeding during gonioscopic examination occurred in both eyes 7 and 8 months after combined surgery. The blood originated from the vessels around the Descemet window, and was probably due to manipulation or rocking of the goniolens. Pressure was immediately applied to the gonioscopic lens and the hyphema was interrupted.
These cases show the presence of new vessels around the Descemet window after DS with SK-gel. Bleeding from the Descemet window vessels can occur during gonioscopy even months after DS. We recommend conducting a careful gonioscopic examination in patients who have undergone DS to avoid this complication.
CITATION J Glaucoma. 2003 Oct;12(5):427-9