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Use of Intraocular Gas in Flat Anterior Chamber After Filtration Surgery

Use of Intraocular Gas in Flat Anterior Chamber After Filtration Surgery Abstract To the Editor. —Air is frequently used to re-form the anterior chamber after intraocular surgery. Though the roles of long-lasting intraocular gases such as sulfur hexafluoride and perfluorocarbons are well established in vitreoretinal surgery,1 they have not been used in anterior segment surgery. However, the expansile properties of these gases and their longer persistence compared with that of air may offer advantages in the management of selected anterior segment problems. We report a case of persistent flat anterior chamber following glaucoma filtration surgery that was unresponsive to numerous choroidal taps and anterior chamber re-formations and in which perfluoropropane was successfully used. Report of a Case. —A 69-year-old man was evaluated for possible cataract surgery on the left eye. Visual acuity in the right eye was light perception because of end-stage glaucoma. Visual acuity was 20/200 OS, a moderately dense nuclear sclerotic cataract was present, the intraocular pressure was elevated, References 1. Lincoff H, Coleman J, Kreissis I, et al: The perfluorocarbon gases in the treatment of retinal detachment . Ophthalmology 1983;90:546-551.Crossref 2. Foulks GN, DeJuan E, Hatchell DL, et al: The effect of perfluoropropane on the cornea in rabbits and cats . Arch Ophthalmol 1987;105:256-259.Crossref 3. Van Horn DL, Edelhauser HG, Aaberg TM, et al: In vivo effects of air and sulfur hexafluoride gas on rabbit corneal endothelium . Invest Ophthalmol Vis Sci 1972;11:1028-1036. 4. Wilson MR, Lee D, Yoshizumi M, et al: Ocular toxicity of substances injected into the anterior chamber of rabbit eyes . Invest Ophthalmol Vis Sci 1988;29( (suppl) ):18. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Use of Intraocular Gas in Flat Anterior Chamber After Filtration Surgery

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Use of Intraocular Gas in Flat Anterior Chamber After Filtration Surgery

Abstract

Abstract To the Editor. —Air is frequently used to re-form the anterior chamber after intraocular surgery. Though the roles of long-lasting intraocular gases such as sulfur hexafluoride and perfluorocarbons are well established in vitreoretinal surgery,1 they have not been used in anterior segment surgery. However, the expansile properties of these gases and their longer persistence compared with that of air may offer advantages in the management of selected anterior segment problems....
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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1988.01060140509004
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —Air is frequently used to re-form the anterior chamber after intraocular surgery. Though the roles of long-lasting intraocular gases such as sulfur hexafluoride and perfluorocarbons are well established in vitreoretinal surgery,1 they have not been used in anterior segment surgery. However, the expansile properties of these gases and their longer persistence compared with that of air may offer advantages in the management of selected anterior segment problems. We report a case of persistent flat anterior chamber following glaucoma filtration surgery that was unresponsive to numerous choroidal taps and anterior chamber re-formations and in which perfluoropropane was successfully used. Report of a Case. —A 69-year-old man was evaluated for possible cataract surgery on the left eye. Visual acuity in the right eye was light perception because of end-stage glaucoma. Visual acuity was 20/200 OS, a moderately dense nuclear sclerotic cataract was present, the intraocular pressure was elevated, References 1. Lincoff H, Coleman J, Kreissis I, et al: The perfluorocarbon gases in the treatment of retinal detachment . Ophthalmology 1983;90:546-551.Crossref 2. Foulks GN, DeJuan E, Hatchell DL, et al: The effect of perfluoropropane on the cornea in rabbits and cats . Arch Ophthalmol 1987;105:256-259.Crossref 3. Van Horn DL, Edelhauser HG, Aaberg TM, et al: In vivo effects of air and sulfur hexafluoride gas on rabbit corneal endothelium . Invest Ophthalmol Vis Sci 1972;11:1028-1036. 4. Wilson MR, Lee D, Yoshizumi M, et al: Ocular toxicity of substances injected into the anterior chamber of rabbit eyes . Invest Ophthalmol Vis Sci 1988;29( (suppl) ):18.

Journal

Archives of Ophthalmology – American Medical Association

Published: Oct 1, 1988

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