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TitleRuptures in Descemet's membrane due to forceps injuries: clinical and Optical Coherence Tomography features.
Abstract Nr.1049
PurposeTo report the clinical aspects and to study the Optical Coherence Tomography features of Descemet's membrane ruptures after forceps assisted delivery.
MethodsThree ruptures of the Descemet's membrane were examined in two patients with a history of forceps delivery. Birth pictures from the family album were examined and the OCT images were evaluated according to the histopathologic types of Descemet's membrane ruptures previously defined in the Literature based on anatomic samples.
ResultsThe first case concerned a 10-year old boy with two traumatical tears (one vertical and one oblique) in the left eye cornea. OCT analysis of the anterior segment revealed that for each tear the fragment of the Descemet's membrane was floating in the anterior chamber. The second case concerned a 70-year old man with a vertical tear in the Descemet's membrane of the right eye cornea. The Optical Coherence Tomography visualised two scrolls of Descemet's membrane at each margin of the tear.
ConclusionA perfect similarity was found between the OCT images and the two most common histopathologic types of Descemet's membrane ruptures secondary to the use of forceps at delivery.
Authors 1
Last nameVAN HOLLEBEKE
InitialsI.
DepartmentCentre Hospitalier Universitaire Dinant Godinne, Université catholique de Louvain
CityYvoir
Authors 2
Last nameLevecq
InitialsL.
DepartmentCentre Hospitalier Universitaire Dinant Godinne, Université catholique de Louvain
CityYvoir
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