PURPOSE: To report a case of endocapsular hematoma that cleared spontaneously without intervention. METHODS: We examined and followed up a 68-year-old man who developed an endocapsular hematoma 2 1/2 years after a standard extracapsular cataract extraction with posterior chamber intraocular lens implantation. RESULTS: After several months without intervention, the endocapsular hematoma completely resolved. CONCLUSIONS: Observation may be a rational treatment option in some patients with endocapsular hematoma.