Case ReportIntracorneal Hematoma After Canaloplasty in GlaucomaGismondi, Maurizio MD; Brusini, Paolo MD Author Information From the Department of Ophthalmology, Azienda Ospedaliero-Universitaria “Santa Maria della Misericordia,” Udine, Italy. Received for publication October 1, 2009; revision received July 2, 2010; accepted September 2, 2010. Funding was not received for the study. The authors have no financial interest in any devices or medication used in this study. Reprints: Paolo Brusini, Department of Ophthalmology, Azienda Ospedaliero-Universitaria “Santa Maria della Misericordia,” S.O.C. di Oculistica, p.le S. Maria della Misericordia, 15, Udine 33100, Italy (e-mail: [email protected]). Cornea: June 2011 - Volume 30 - Issue 6 - p 718-719 doi: 10.1097/ICO.0b013e3182000955 Buy Metrics Abstract Purpose: To report a case of an intracorneal hematoma after canaloplasty. Methods: Interventional case report of a surgical method used to resolve an intracorneal hematoma complication after canaloplasty. Results: A 45-year-old man with uncontrolled pigmentary open-angle glaucoma underwent canaloplasty for glaucoma in the left eye. The patient previously underwent radial keratotomy for myopia in the same eye in 1997. Visual acuity was 20/20 without corrective lenses; intraocular pressure was 25 mm Hg with maximal medical therapy. During the surgical procedure, the canaloplasty microcatheter encountered an obstacle at the 6-o'clock position. During catheterization, a high-weight viscoelastic substance is normally injected in the canal. This probably caused a limited detachment of the Descemet membrane. On the day after surgery, slit-lamp biomicroscopy showed a large intracorneal hematoma that threatened the visual axis. A partial-thickness paracentesis was then performed on day 2 to remove the hematoma. Conclusions: Intracorneal hematoma is a rare complication of canaloplasty for glaucoma. The blood can be removed without interrupting the Descemet membrane by partial-thickness paracentesis. Copyright © 2011 Wolters Kluwer Health, Inc. All rights reserved.