case_images: PMC10923590_01
case_images: Slit lamp photos of the patient's left eye in the slit beam and retro-illumination. A large Descemet's rupture is seen with the membrane hanging in the anterior chamber. The overlying cornea is clear and compact.
case_images: cop-2024-0015-0001-537742_F01.jpg
case_images: PMC10923590_01_cop-2024-0015-0001-537742_F01.jpg
case_images: F1
case_images: A large "cat-eye"-shaped Descemet rupture was noted centrally within the flap (Fig. 1). Descemet detachment (Fig. 1, 2). Descemet's membrane was attached only at the peripheral limbus; it had not re-attached, yet the cornea had cleared.
case_images: Anterior segment OCT of the left eye demonstrating the large Descemet's rupture with membrane flap in the anterior chamber. The compactness of the overlying cornea and the hyper-reflectivity of the posterior surface demonstrate endothelial cell migration with the re-establishment of Descemet's membrane on the posterior cornea.
case_images: cop-2024-0015-0001-537742_F02.jpg
case_images: PMC10923590_01_cop-2024-0015-0001-537742_F02.jpg
case_images: F2
case_images: Anterior segment OCT of the left eye confirmed an old, large Descemet detachment, with Descemet seemingly free-floating within the anterior chamber (Fig. 2). Descemet detachment (Fig. 1, 2). Descemet's membrane was attached only at the peripheral limbus; it had not re-attached, yet the cornea had cleared.
case_images: Anterior segment OCT of the right eye shortly after an episode of acute hydrops. A large Descemet's rupture and detachment is noted in the anterior chamber. Lack of a hyper-reflective band at the level of the posterior stroma indicates that endothelial cell coverage has not yet occurred.
case_images: cop-2024-0015-0001-537742_F03.jpg
case_images: PMC10923590_01_cop-2024-0015-0001-537742_F03.jpg
case_images: F3
case_images: An anterior segment OCT was obtained (Fig. 3), but further photographs at this timepoint were not possible due to the patient's extreme light sensitivity and discomfort.