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Abstract #49146 Published in IGR 14-1
Intracorneal hematoma after canaloplasty and clear cornea phacoemulsification: surgical management
Freiberg FJ; Salgado J; Grehn F; Klink TEuropean Journal of Ophthalmology 2012; 0: 0
PURPOSE: This is a case report of intracorneal hematoma after canaloplasty and clear cornea phacoemulsification. METHODS: A 75-year-old woman presented with primary open angle glaucoma and visually significant cataract. Canaloplasty and clear corneal phacoemulsification were performed. Postoperatively she had an intracorneal hematoma, which was removed through a clear corneal tunnel. RESULTS: Preoperative best-corrected visual acuity (BCVA) was 20/40 in the right eye and mean intraocular pressure (IOP) was 20 mmHg. Uneventful canaloplasty, clear corneal phacoemulsification, and implantation of a posterior chamber intraocular lens were performed. One day after the operation, BCVA was 20/400 in the right eye. The IOP was 8 mmHg. Anterior segment examination revealed a nasally located intrastromal hematoma between corneal stroma and Descemet membrane. The intracorneal hematoma was removed through a clear corneal tunnel. Six months postoperatively, BCVA was 20/25 in the right eye. The IOP with one medication was 17 mmHg. CONCLUSIONS: This operation was a minimally invasive technique to remove intrastromal hematocornea after viscocanaloplasty.
University Würzburg, Eye Hospital, Würzburg - Germany.
Full articleClassification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
