Fig. 40. Deep sclerectomy with viscocanalostomy (DSVC): Descemet's detachment. Descemet's detachment is a complication of any anterior segment procedure but is more likely to occur with DSVC. The need to inject viscoelastic multiple times during viscocanalostomy increases the likelihood of Descemet's detachment. If the spaces are over filled, it is possible to detach Descemet's as seen in this photo. Of interest is the clear cornea. Normally Descemet's detachment causes a cloudy cornea. This cornea remained clear for months because the viscoelastic prevented aqueous from gaining access to the stroma. This detachment was not associated with the paracentesis but most likely occurred from overinjecting viscoelastic into the intrascleral cavern at the end of the procedure. This is a problem with DSVC because the viscoelastic is injected underneath the flap and it is difficult to gauge the amount.