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Abstract #45817 Published in IGR 13-2
Intracorneal hematoma after canaloplasty in glaucoma
Gismondi M; Brusini PCornea 2011; 30: 718-719
Purpose: To report a case of an intracorneal hematoma after canaloplasty. Methods: Interventional case report of a surgical method used to resolve an intracorneal hematoma complication after canaloplasty. Results: A 45-year-old man with uncontrolled pigmentary open-angle glaucoma underwent canaloplasty for glaucoma in the left eye. The patient previously underwent radial keratotomy for myopia in the same eye in 1997. Visual acuity was 20/20 without corrective lenses; intraocular pressure was 25 mm Hg with maximal medical therapy. During the surgical procedure, the canaloplasty microcatheter encountered an obstacle at the 6-o'clock position. During catheterization, a high-weight viscoelastic substance is normally injected in the canal. This probably caused a limited detachment of the Descemet membrane. On the day after surgery, slit-lamp biomicroscopy showed a large intracorneal hematoma that threatened the visual axis. A partial-thickness paracentesis was then performed on day 2 to remove the hematoma. Conclusions: Intracorneal hematoma is a rare complication of canaloplasty for glaucoma. The blood can be removed without interrupting the Descemet membrane by partial-thickness paracentesis.
P. Brusini. Department of Ophthalmology, Azienda Ospedaliero-Universitaria, Santa Maria della Misericordia, p.le S. Maria della Misericordia, 15, Udine 33100, Italy. Email: brusini@libero.it
Classification:
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)
9.4.10 Glaucomas associated with hemorrhage (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)