Advertisement

International Ophthalmology

, Volume 38, Issue 5, pp 2223–2226 | Cite as

An unusual complication of combined gonioscopy-assisted transluminal trabeculotomy and phacoemulsification: vision loss due to intracapsular hematoma

  • Duygu Yalinbas
  • Zeynep Aktas
  • İbrahim Hepsen
  • Nilay Dilekmen
Case Report
  • 101 Downloads

Abstract

Purpose

To report two cases with an acute vision loss due to intracapsular hemorrhage (hematoma) after an uncomplicated gonioscopy-assisted transluminal trabeculotomy (GATT) combined with phacoemulsification surgery.

Methods

Case report.

Results

Seventy-six-year-old male and 75-year-old female patients with cataract and pseudoexfoliative glaucoma (XFG) uncontrolled with maximum medical therapy both underwent GATT combined with phacoemulsification. Shortly after the surgery, intracapsular hematoma behind the intraocular lens (IOL) were noted in both patients. Hematoma cleared in both of them via IOL extraction-anterior vitrectomy and YAG-laser capsulotomy, respectively. Hematoma cleared in both patients without any surgical complications.

Conclusions

Vision loss due to unclearing intracapsular hematoma might be an early complication of combined GATT and phacoemulsification surgery.

Keywords

Gonioscopy-assisted transluminal trabeculotomy Phacoemulsification Intracapsular hematoma 

Notes

Compliance with ethical standards

Conflict of interest

Authors of this case series had no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendment or comparable ethical standards.

References

  1. 1.
    McPherson SD, McFarland D (1980) External trabeculotomy for developmental glaucoma. Ophthalmology 87(4):302–305CrossRefPubMedCentralGoogle Scholar
  2. 2.
    Chin S et al (2012) Reduction of intraocular pressure using a modified 360-degree suture trabeculotomy technique in primary and secondary open-angle glaucoma: a pilot study. J Glaucoma 21(6):401–407CrossRefPubMedCentralGoogle Scholar
  3. 3.
    Grover DS et al (2014) Gonioscopy-assisted transluminal trabeculotomy, ab interno trabeculotomy: technique report and preliminary results. Ophthalmology 121(4):855–861CrossRefPubMedCentralGoogle Scholar
  4. 4.
    Grieshaber MC (2012) Ab externo Schlemm’s canal surgery: viscocanalostomy and canaloplasty, in glaucoma surgery. Karger Publishers, Basel, pp 109–124Google Scholar
  5. 5.
    Hayashi Y et al (2004) Relationship between anterior capsule contraction and posterior capsule opacification after cataract surgery in patients with diabetes mellitus. J Cataract Refract Surg 30(7):1517–1520CrossRefPubMedCentralGoogle Scholar
  6. 6.
    Hayashi H et al (1998) Anterior capsule contraction and intraocular lens dislocation in eyes with pseudoexfoliation syndrome. Br J Ophthalmol 82(12):1429–1432CrossRefPubMedCentralGoogle Scholar
  7. 7.
    Hayashi K et al (2011) Anterior capsule relaxing incisions with neodymium: YAG laser for patients at high-risk for anterior capsule contraction. J Cataract Refract Surg 37(1):97–103CrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2017

Authors and Affiliations

  • Duygu Yalinbas
    • 1
    • 2
  • Zeynep Aktas
    • 1
  • İbrahim Hepsen
    • 3
  • Nilay Dilekmen
    • 1
  1. 1.Gazi University Medical FacultyBesevlerTurkey
  2. 2.Kozan Public HospitalKozanTurkey
  3. 3.AnkaraTurkey

Personalised recommendations