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Abstract #90538 Published in IGR 21-3

Endocapsular haematoma: An unusual complication of phacoemulsification and non-penetrating deep sclerectomy

Ibáñez Muñoz A; Rozanova Klecheva M; Ortega Renedo I; Grillo Mallo E; Rodríguez Vicente L; Sosa Durán J
Archivos de la Sociedad Española de Oftalmologia 2021; 96: 110-113

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CASE REPORT: A 68-year-old male with a cataract and uncontrolled primary open angle glaucoma with maximal tolerated medication underwent non-penetrating deep sclerectomy combined with phacoemulsification surgery in right eye. There were no complications during the procedure, but shortly after the surgery, he lost visual acuity after a Valsalva manoeuvre due to an endocapsular haematoma. Neodymium:YAG laser posterior capsulotomy was performed for the treatment of an unresolving endocapsular haemorrhage at the third month of the follow-up, with immediate visual improvement and optimal control of intraocular pressure. DISCUSSION: To the best of our knowledge, this is the first reported case of endocapsular haematoma as a complication of non-penetrating glaucoma surgery that has been successfully solved by a YAG capsulotomy.

Servicio de Oftalmología, Hospital San Pedro, Logroño (La Rioja), España. Electronic address: anciban82@hotmail.com.

Full article

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Classification:

12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)

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