Descemet's membrane detachment attributed to the mechanical forces of airbag deployment

Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association
Terry Moehnke, Heidi Wagner

Abstract

A patient who developed a Descemet's membrane detachment 3 weeks following airbag deployment is reported. A hydrogel contact lens wearer (extended wear) presented to her primary eye care provider with a painful red eye that had been treated with pressure patching the previous day at a hospital emergency room. Examination revealed full thickness corneal edema localized in the temporal region of the left eye, a corneal infiltrate with an overlying epithelial defect, and an anterior chamber reaction with marked temporal injection. The patient was referred to a corneal specialist after the cornea failed to respond to anti-microbial treatment. Probing of the history revealed that the patient had recently sustained an automobile accident in which the front air bags had deployed. Confocal microscopy revealed that Descemet's membrane was detached, presumably secondary to the mechanical forces of airbag deployment. The patient recovered normal vision after 3 weeks of topical therapy and ultimately returned to successful contact lens wear. Although Descemet's membrane detachment is an uncommon complication of airbag deployment, it is important to exclude this possibility because delayed diagnosis and treatment may compromise the corneal ...Continue Reading

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Citations

Sep 26, 2012·International Ophthalmology·Rim LimaïemLeila El Matri
Jun 5, 2015·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Tsong Qiang Kwong, Mona Khandwala
Dec 24, 2013·Survey of Ophthalmology·Tahra Almahmoud, Peter Barss
May 23, 2012·European Journal of Ophthalmology·James F Eide MacphersonTrond Thilesen

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