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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 10  |  Page : 2253

Descemet's membrane rupture secondary to forceps-induced birth injury


Sri Sankaradeva Nethralaya, Department of Glaucoma, Guwahati, Assam, India

Date of Web Publication23-Sep-2020

Correspondence Address:
Dr. Mayuri Borgohain
Sri Sankaradeva Nethralaya, 96 Basisth Road, Guwahati - 781 028, Assam
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_149_20

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How to cite this article:
Sarma P, Borgohain M, Tayab S, Sangma CA. Descemet's membrane rupture secondary to forceps-induced birth injury. Indian J Ophthalmol 2020;68:2253

How to cite this URL:
Sarma P, Borgohain M, Tayab S, Sangma CA. Descemet's membrane rupture secondary to forceps-induced birth injury. Indian J Ophthalmol [serial online] 2020 [cited 2020 Oct 31];68:2253. Available from: https://www.ijo.in/text.asp?2020/68/10/2253/295668



We report a case of 67-year-old female coming for right eye cataract surgery with accidental finding of two distinct, vertical, semi translucent parallel striae located on the posterior surface of cornea [Figure 1]a and [Figure 1]c. History revealed forceps delivery at birth. Descemet's rupture occurs when blade slips over the inferior orbital rim and compresses globe against the superior wall of the orbit.[1] Anterior segment optical coherence tomography [Figure 1]b showed projections from inner surface of cornea and low endothelial count on specular microscopy. There is an increased risk of endothelial decompensation and bullous keratopathy.[2] Cataract surgery was advised using dispersive viscoelastic and balanced salt solution.
Figure 1: Composite image includes (a) slit-lamp photograph showing vertical corneal striae at the level of Descemetfs membrane, (b) ASOCT (anterior segment optical coherence tomography) showing projections from inner surface of cornea into anterior chamber of right eye and (c) magnified view of corneal striae

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Lloyd RL. Birth injuries of the cornea and allied conditions. Am J Ophthalmol 1938;21:359-65.  Back to cited text no. 1
    
2.
Spencer WH, Ferguson WJ, Shaffer RN, Firie M. Late degenerative changes in the cornea following breaks in Desccmet's membrane. Trans Am Acad Ophthalmol Otol 1966;70:973-83.  Back to cited text no. 2
    


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