Intraoperative optical coherence tomography-assisted retrocorneal fibrous membrane biopsy and excision
Purpose: We report a case of retrocorneal fibrous membrane (RCFM) formation following penetrating keratoplasty (PK) and intraoperative optical coherence tomography (OCT)-guided excision of this membrane. Observations: A 68-year-old woman with primary open angle glaucoma and corneal decompensation of...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-09-01
|
| Series: | American Journal of Ophthalmology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993618301117 |
| _version_ | 1818343882271752192 |
|---|---|
| author | Kelly Ruland Thomas W. Bouldin Richard M. Davis David Fleischman |
| author_facet | Kelly Ruland Thomas W. Bouldin Richard M. Davis David Fleischman |
| author_sort | Kelly Ruland |
| collection | DOAJ |
| description | Purpose: We report a case of retrocorneal fibrous membrane (RCFM) formation following penetrating keratoplasty (PK) and intraoperative optical coherence tomography (OCT)-guided excision of this membrane. Observations: A 68-year-old woman with primary open angle glaucoma and corneal decompensation of the right eye secondary to tube shunt presented for 3-month follow-up of PK. On examination of the right eye, the patient was noted to have a glassy pupillary membrane with traction on the iris. Anterior segment OCT confirmed a membrane connecting the iris to host cornea. The patient underwent biopsy and excision of the membrane assisted by intraoperative OCT. Pathological examination was consistent with Descemet's membrane proliferation. We suspect that this membrane represents retained host's Descemet's membrane following corneal transplantation. Conclusions: This case highlights the existence of RCFM formation in the context of retained host cornea following PK and the role of intraoperative OCT in management. Keywords: Retrocorneal fibrous membrane, Intraoperative optical coherence tomography, Descemet's membrane, Penetrating keratoplasty |
| first_indexed | 2024-12-13T16:37:38Z |
| format | Article |
| id | doaj.art-e716c83857074241b1dd67556f8bea13 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-13T16:37:38Z |
| publishDate | 2018-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-e716c83857074241b1dd67556f8bea132022-12-21T23:38:22ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362018-09-0111101104Intraoperative optical coherence tomography-assisted retrocorneal fibrous membrane biopsy and excisionKelly Ruland0Thomas W. Bouldin1Richard M. Davis2David Fleischman3Drexel University College of Medicine, 2900 West Queen Lane, Philadelphia, PA, 19129, USADepartment of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, CB# 7525, Brinkhous-Bullitt Bldg, Chapel Hill, NC, 27599–7525, USADepartment of Ophthalmology, University of North Carolina at Chapel Hill, Kittner Eye Center, 2226 Nelson Highway, Chapel Hill, NC 27517, USADepartment of Ophthalmology, University of North Carolina at Chapel Hill, Kittner Eye Center, 2226 Nelson Highway, Chapel Hill, NC 27517, USA; Corresponding author. Department of Ophthalmology, University of North Carolina at Chapel Hill, 5126 Bioinformatics Bldg #7040, Chapel Hill, NC, 27599-7040, USA.Purpose: We report a case of retrocorneal fibrous membrane (RCFM) formation following penetrating keratoplasty (PK) and intraoperative optical coherence tomography (OCT)-guided excision of this membrane. Observations: A 68-year-old woman with primary open angle glaucoma and corneal decompensation of the right eye secondary to tube shunt presented for 3-month follow-up of PK. On examination of the right eye, the patient was noted to have a glassy pupillary membrane with traction on the iris. Anterior segment OCT confirmed a membrane connecting the iris to host cornea. The patient underwent biopsy and excision of the membrane assisted by intraoperative OCT. Pathological examination was consistent with Descemet's membrane proliferation. We suspect that this membrane represents retained host's Descemet's membrane following corneal transplantation. Conclusions: This case highlights the existence of RCFM formation in the context of retained host cornea following PK and the role of intraoperative OCT in management. Keywords: Retrocorneal fibrous membrane, Intraoperative optical coherence tomography, Descemet's membrane, Penetrating keratoplastyhttp://www.sciencedirect.com/science/article/pii/S2451993618301117 |
| spellingShingle | Kelly Ruland Thomas W. Bouldin Richard M. Davis David Fleischman Intraoperative optical coherence tomography-assisted retrocorneal fibrous membrane biopsy and excision American Journal of Ophthalmology Case Reports |
| title | Intraoperative optical coherence tomography-assisted retrocorneal fibrous membrane biopsy and excision |
| title_full | Intraoperative optical coherence tomography-assisted retrocorneal fibrous membrane biopsy and excision |
| title_fullStr | Intraoperative optical coherence tomography-assisted retrocorneal fibrous membrane biopsy and excision |
| title_full_unstemmed | Intraoperative optical coherence tomography-assisted retrocorneal fibrous membrane biopsy and excision |
| title_short | Intraoperative optical coherence tomography-assisted retrocorneal fibrous membrane biopsy and excision |
| title_sort | intraoperative optical coherence tomography assisted retrocorneal fibrous membrane biopsy and excision |
| url | http://www.sciencedirect.com/science/article/pii/S2451993618301117 |
| work_keys_str_mv | AT kellyruland intraoperativeopticalcoherencetomographyassistedretrocornealfibrousmembranebiopsyandexcision AT thomaswbouldin intraoperativeopticalcoherencetomographyassistedretrocornealfibrousmembranebiopsyandexcision AT richardmdavis intraoperativeopticalcoherencetomographyassistedretrocornealfibrousmembranebiopsyandexcision AT davidfleischman intraoperativeopticalcoherencetomographyassistedretrocornealfibrousmembranebiopsyandexcision |