Hematoma pre-descemético tras EPNP, tratado mediante membranotomía de la Descemet y hallazgos de OCT de segmento anterior: presentación de 2 casos clínicos

espanolCasos clinicos Mujer de 81 anos y varon de 63, que desarrollan un hematoma pre-descemetico (HPD) tras una esclerectomia profunda no perforante (EPNP), la primera durante la cirugia y el segundo durante el postoperatorio precoz. Se describe la tecnica quirurgica que permite tanto la evacuacion del hematoma como la preservacion de la integridad de la membrana trabeculo-descemetica. Se presentan los hallazgos de OCT de segmento anterior tras la cirugia. Discusion Describimos los primeros casos del HPD tras EPNP, manejados exitosamente con una membranotomia ab interno de Descemet. Se debe estar alerta ante esta rara complicacion, potencialmente amenazadora para la vision. EnglishCase presentation An 81 year-old woman and a 63 year-old man developed a pre-Descemet haematoma after deep sclerectomy (DS), the former during the surgery itself and the latter during the early post-operative period. The surgical technique is decribed that led to the evacuation of the haematoma and the preservation of the integrity of trabeculo-Descemet membrane. The anterior-segment OCT findings after surgery are also presented. Conclusions These are the first reported cases of pre-Descemet haematoma after DS that have been successfully repaired by an ab interno Descemet membranotomy. Surgeons should be aware of this rare, but potentially sight-threatening, complication.