Journal article
Large Hyphema following Femtosecond Laser-assisted Cataract Surgery (FLACS) and Trabectome Resulting in Endocapsular Hematoma
Journal of current glaucoma practice, Vol.16(3), pp.195-198
09/01/2022
DOI: 10.5005/jp-journals-10078-1372
PMCID: PMC9905881
PMID: 36793266
Abstract
To report a large hyphema following femtosecond laser-assisted cataract surgery (FLACS) and trabectome resulting in endocapsular hematoma.
Hyphema has previously been described following trabectome, however, no cases have been reported following FLACS or FLACS combined with microinvasive glaucoma surgery (MIGS). We report a case of a large hyphema following FLACS combined with MIGS that resulted in an endocapsular hematoma.
A 63-year-old myopic female with exfoliation glaucoma underwent FLACS with a trifocal intraocular lens implant and Trabectome in the right eye. Significant intraoperative bleeding ensued following the trabectome and was treated with viscoelastic tamponade, anterior chamber (AC) washout, and cautery. The patient developed a large hyphema with intraocular pressure (IOP) rise that was treated with multiple AC taps, paracentesis, and eye drops. The hyphema took approximately 1 month to completely clear, leaving an endocapsular hematoma. This was treated successfully with Neodymium:Yttrium-Aluminum-Garnet (Nd:YAG) laser posterior capsulotomy.
Hyphema may occur with angle-based MIGS in combination with FLACS and may cause endocapsular hematoma. An increase in episcleral venous pressure during the docking and suction phase of the laser may predispose to bleeding. Endocapsular hematoma is an uncommon finding after cataract surgery and may be treated with Nd:YAG posterior capsulotomy.
Chang EL, Apostolopoulos N, Mir TA,
Large Hyphema following Femtosecond Laser-assisted Cataract Surgery (FLACS) and Trabectome Resulting in Endocapsular Hematoma. J Curr Glaucoma Pract 2022;16(3):195-198.
Details
- Title: Subtitle
- Large Hyphema following Femtosecond Laser-assisted Cataract Surgery (FLACS) and Trabectome Resulting in Endocapsular Hematoma
- Creators
- Eileen L Chang - Yale UniversityNicholas Apostolopoulos - Yale UniversityTahreem A Mir - Yale UniversityIsaac G Freedman - Yale UniversityChristopher C Teng - Yale University
- Resource Type
- Journal article
- Publication Details
- Journal of current glaucoma practice, Vol.16(3), pp.195-198
- DOI
- 10.5005/jp-journals-10078-1372
- PMID
- 36793266
- PMCID
- PMC9905881
- NLM abbreviation
- J Curr Glaucoma Pract
- ISSN
- 0974-0333
- eISSN
- 0975-1947
- Language
- English
- Date published
- 09/01/2022
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984756259902771
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