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 YalinbasEmail author
  • Zeynep Aktas
  • İbrahim Hepsen
  • Nilay Dilekmen
Case Report



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.


Case report.


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.


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


Gonioscopy-assisted transluminal trabeculotomy Phacoemulsification Intracapsular hematoma 


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.


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Copyright information

© Springer Science+Business Media B.V. 2017

Authors and Affiliations

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

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