[Diffuse endothelialization of a cyclodialysis cleft: a light and electron microscopic study].

Abstract

Twenty years after surgical cyclodialysis it became necessary to remove the right eye of a 58-year-old patient with chronic unspecific anterior uveitis who had developed a painful secondary glaucoma. Light and electron microscopic investigation revealed that a complete, diffuse endothelialization with a Descemet-like basement membrane had lined the anterior chamber and the cyclodialysis cleft. The endothelial cell structure was fenestrated and the basement membrane was a "multi-layered Descemet-like membrane". Clinical and histological differential diagnoses of such membrane formations are discussed. Endothelialization of the cyclodialysis cleft can be the cause of an unsuccessful operation.