An unusual complication of combined gonioscopy-assisted transluminal trabeculotomy and phacoemulsification: vision loss due to intracapsular hematoma
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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.
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.
KeywordsGonioscopy-assisted transluminal trabeculotomy Phacoemulsification Intracapsular hematoma
Compliance with ethical standards
Conflict of interest
Authors of this case series had no conflict of interest.
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.
- 4.Grieshaber MC (2012) Ab externo Schlemm’s canal surgery: viscocanalostomy and canaloplasty, in glaucoma surgery. Karger Publishers, Basel, pp 109–124Google Scholar