Intracapsular hemorrhage in the setting of pseudoexfoliation syndrome

Abstract

We report the case of an 84-year-old man who presented with decreased vision in his left eye. Ocular history included bilateral pseudoexfoliative glaucoma and vitelliform macular dystrophy. He had undergone intraocular lens placement in both eyes 6 years before presenting at our institution. Over follow-up of 4 years, he experienced recurrent spontaneous hyphema and continued residual intracapsular hemorrhage. He was eventually diagnosed with uveitis-glaucoma-hyphema syndrome in the setting of pseudoexfoliation.

Delayed intracapsular hematoma after use of iris retractor hooks

“…12 Nd:YAG laser posterior capsulotomy was able to resolve an intracapsular hematoma in a patient with advanced pseudoexfoliative glaucoma. 13 After considering the surgical options, we chose to drain the hematoma with Nd:YAG laser posterior capsulotomy, the least invasive technique.…”

“…Previously reported intracapsular hematomas have been successfully treated by Nd:YAG laser posterior capsulotomy, vitrectomy, and anterior chamber washouts. [12][13][14] One study documented 2 cases of intracapsular hematomas after combined phacoemulsification and gonioscopy-assisted transluminal trabeculotomy, one of which was treated with Nd: YAG laser posterior capsulotomy and the other with anterior vitrectomy. 12 Nd:YAG laser posterior capsulotomy was able to resolve an intracapsular hematoma in a patient with advanced pseudoexfoliative glaucoma.…”