Methods:

We describe 4 patients suffering from open-angle glaucoma and cataract, and one patient with secondary glaucoma after Fuchs heterochromic uveitis. All of them underwent phacoemulsification and non-penetrating deep sclerectomy with 5-fluoracil. Two patients presented hematoma in scleral lake 24 h after surgery, other 2 of them presented it one week after the intervention, and one of them presented it 2 weeks after the surgery. The hematoma was found by gonioscopy in all cases. Moreover, all patients had elevated intraocular pressure.

Result:

Hematoma usually appears within 2 weeks after surgery. Goniopunctures were performed in 5 patients within 5 months of the complication. A second goniopuncture was needed for one of them. Bleb needling was made in one of them. Three of the patients required treatment with beta-blocker eye drops since intraocular pressure exceeded pre-set values.

Conclusion:

Hematomas in scleral lake are a rare complication that may appear within 2 weeks after non-penetrating deep sclerectomy. They may cause surgery malfunction and antihypertensive eye drops might be required for tensional control. Goniopuncture could be used for solving the complication.

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