title: Stabilization of flat anterior chamber after trabeculectomy with Healon5.
abstract: A 64-year-old phakic patient had a trabeculectomy complicated by complete shallowing of the anterior chamber 10 days postoperatively. Despite repair of a conjunctival wound dehiscence and reformation of the anterior chamber with sodium hyaluronate 3.0%-chondroitin sulfate 4.0% (Viscoat), he had a flat anterior chamber again the following day with 360 degrees of pupillary synechias and lens-to-cornea touch. Sodium hyaluronate 2.3% (Healon5) instilled through a paracentesis at the slitlamp lysed the synechias, stabilized the anterior chamber, facilitated filtration, and prevented complications from hypotony. The unique properties of Healon5 allowed for a conservative and less invasive approach in the management of this particular complication.
authors.affiliation: rshoffman@finemd.com
authors.forename: Richard S
authors.initials: RS
authors.lastname: Hoffman
authors.forename: I Howard
authors.initials: IH
authors.lastname: Fine
authors.forename: Mark
authors.initials: M
authors.lastname: Packer
mesh_terms: D000867:Anterior Chamber / Q000187:drug effects* / Q000473:pathology; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000188:drug therapy* / Q000473:pathology; D014130:Trabeculectomy / Q000009:adverse effects*
chemical_list: D006820:Hyaluronic Acid