title: Intracorneal hematoma after canaloplasty and clear cornea phacoemulsification: surgical management.
abstract: OBJECTIVE
  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.
authors.affiliation: University Würzburg, Eye Hospital, Würzburg, Germany. F.Freiberg@augenklinik.uni-wuerzburg.de
authors.forename: Florentina Joyce
authors.initials: FJ
authors.lastname: Freiberg
authors.forename: Josefina
authors.initials: J
authors.lastname: Parente Salgado
authors.forename: Franz
authors.initials: F
authors.lastname: Grehn
authors.forename: Thomas
authors.initials: T
authors.lastname: Klink
mesh_terms: D000368:Aged; D002386:Cataract / Q000150:complications; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D018463:Filtering Surgery / Q000009:adverse effects*; D005902:Glaucoma, Open-Angle / Q000150:complications / Q000601:surgery; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D019654:Lens Implantation, Intraocular; D018918:Phacoemulsification / Q000009:adverse effects*; D014792:Visual Acuity / Q000502:physiology