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Aphakic Flat Anterior Chamber: II. Effect of Spontaneous Reformation and Medical Therapy

Aphakic Flat Anterior Chamber: II. Effect of Spontaneous Reformation and Medical Therapy Abstract In a large series of senile cataract extractions, the incidence of flat anterior chamber (AC) that reformed spontaneously or responded to medical therapy was 5.9%. Most flat ACs in this group resulted from wound leaks or combined wound-leak and pupillary block mechanisms. Higher incidence of aphakic flat AC was present in patients with preexisting chronic simple glaucoma or angle-closure glaucoma as compared to nonglaucoma groups. Lower incidences of aphakic flat AC were found in eyes sutured with 7-0 silk or 7-0 catgut, eyes in which five sutures were placed, eyes in which chymotrypsin was not used, and eyes in which the cryoextractor was used. The final visual acuity and intraocular pressure of eyes in the aphakic flat AC treated medically did not differ from that of an uncomplicated aphakic population. References 1. Cotlier E: Aphakic flat anterior chamber: I. Incidence among 8,533 cataract extractions . Arch Ophthal 87:119-123, 1972.Crossref 2. Caird FI, Hutchinson M, Pirie A: Cataract and diabetes . Brit Med J 2:665, 1964.Crossref 3. Galin MA, Baras I, Perry R: Intraocular pressure following cataract extraction . Arch Ophthal 66:80-85, 1961.Crossref 4. Giarini A: Appiattimento della camera anteriore secondairo ad estrazione di catarratta . Docum Ophthal 16:33, 1962. 5. Fine LM: Acetazolamide in the treatment of postoperative absent anterior chamber . Arch Ophthal 73:19-24, 1965.Crossref 6. Taylor DM: Is the flat anterior chamber syndrome necessary? Arch Ophthal 74:161-162, 1965.Crossref 7. Barraquer Moner JI: Subconjunctival suture in cataract operation . Arch Ophthal 57:815-820, 1957.Crossref 8. Kirsch RE: Glaucoma following cataract extraction associated with use of alpha-chymotrypsin . Arch Ophthal 72:612-620, 1964.Crossref 9. Weekers R, Lavergne G, Stassart-Hourlay C: Avantages et inconvenients de la zonulolyse enzymatique dans l'extration du cristallin cataracte . Bull Soc Belg Ophthal 120:539, 1959. 10. Paliaga GP: Influenza dell' iridectomia e dell' iridotomia sull' incidenza dell' assenza di camera anteriore secondaria ad estrazione di cataratta . Ann Ottal 87:43, 1961. 11. Bellows J, Lieberman H, Abrahamson I: Flattened anterior chamber . Arch Ophthal 54:170-178, 1955.Crossref 12. Paliaga GP, Cornelio E: Alfachimotripsina ed assenzadi camera anteriore dopo estrazione dic cataratta . Ann Ottol 86:333, 1960. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Aphakic Flat Anterior Chamber: II. Effect of Spontaneous Reformation and Medical Therapy

Archives of Ophthalmology , Volume 87 (2) – Feb 1, 1972

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Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1972.01000020126003
Publisher site
See Article on Publisher Site

Abstract

Abstract In a large series of senile cataract extractions, the incidence of flat anterior chamber (AC) that reformed spontaneously or responded to medical therapy was 5.9%. Most flat ACs in this group resulted from wound leaks or combined wound-leak and pupillary block mechanisms. Higher incidence of aphakic flat AC was present in patients with preexisting chronic simple glaucoma or angle-closure glaucoma as compared to nonglaucoma groups. Lower incidences of aphakic flat AC were found in eyes sutured with 7-0 silk or 7-0 catgut, eyes in which five sutures were placed, eyes in which chymotrypsin was not used, and eyes in which the cryoextractor was used. The final visual acuity and intraocular pressure of eyes in the aphakic flat AC treated medically did not differ from that of an uncomplicated aphakic population. References 1. Cotlier E: Aphakic flat anterior chamber: I. Incidence among 8,533 cataract extractions . Arch Ophthal 87:119-123, 1972.Crossref 2. Caird FI, Hutchinson M, Pirie A: Cataract and diabetes . Brit Med J 2:665, 1964.Crossref 3. Galin MA, Baras I, Perry R: Intraocular pressure following cataract extraction . Arch Ophthal 66:80-85, 1961.Crossref 4. Giarini A: Appiattimento della camera anteriore secondairo ad estrazione di catarratta . Docum Ophthal 16:33, 1962. 5. Fine LM: Acetazolamide in the treatment of postoperative absent anterior chamber . Arch Ophthal 73:19-24, 1965.Crossref 6. Taylor DM: Is the flat anterior chamber syndrome necessary? Arch Ophthal 74:161-162, 1965.Crossref 7. Barraquer Moner JI: Subconjunctival suture in cataract operation . Arch Ophthal 57:815-820, 1957.Crossref 8. Kirsch RE: Glaucoma following cataract extraction associated with use of alpha-chymotrypsin . Arch Ophthal 72:612-620, 1964.Crossref 9. Weekers R, Lavergne G, Stassart-Hourlay C: Avantages et inconvenients de la zonulolyse enzymatique dans l'extration du cristallin cataracte . Bull Soc Belg Ophthal 120:539, 1959. 10. Paliaga GP: Influenza dell' iridectomia e dell' iridotomia sull' incidenza dell' assenza di camera anteriore secondaria ad estrazione di cataratta . Ann Ottal 87:43, 1961. 11. Bellows J, Lieberman H, Abrahamson I: Flattened anterior chamber . Arch Ophthal 54:170-178, 1955.Crossref 12. Paliaga GP, Cornelio E: Alfachimotripsina ed assenzadi camera anteriore dopo estrazione dic cataratta . Ann Ottol 86:333, 1960.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Feb 1, 1972

References

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