Stabilization of post-trabeculectomy flat anterior chamber with Healon and sulfur hexafluoride.
We present the management of 2 cases of post-trabeculectomy flat anterior chamber with hypotony due to an overflowing fistula. When separate attempts to reform the anterior chamber by intracameral injection of sulfur hexafluoride (SF(6)) and sodium hyaluronate 1.0% (Healon) failed, we injected SF(6) 100% with Healon into the anterior chamber. This stabilized the anterior chamber without compromising the integrity of the filtering bleb. No complications were observed. This simple, safe, and effective procedure offers another option for the management of a flat anterior chamber due to overfiltration.
Geyer
Orna
O
Department of Ophthalmology, Carmel Medical Center, Haifa, Israel. drgo@netvision.net.il
Segev
Eitan
E
Steinberg
Jordan M
JM
Buckman
Gila
G
D000867:Anterior Chamber / Q000187:drug effects* / Q000378:metabolism / Q000473:pathology; D001082:Aqueous Humor / Q000378:metabolism; D004359:Drug Therapy, Combination; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D015814:Ocular Hypotension / Q000188:drug therapy* / Q000209:etiology / Q000378:metabolism; D011183:Postoperative Complications; D013459:Sulfur Hexafluoride / Q000627:therapeutic use*; D014130:Trabeculectomy / Q000009:adverse effects*
D006820:Hyaluronic Acid; D013459:Sulfur Hexafluoride