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Intracorneal hematoma after canaloplasty and clear cornea phacoemulsification: surgical management

2012; SAGE Publishing; Volume: 22; Issue: 5 Linguagem: Inglês

10.5301/ejo.5000132

1724-6016

Florentina J. Freiberg, Josefina Salgado, Franz Grehn, Thomas Klink,

Corneal surgery and disorders

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.