Combined perfluoropropane gas and viscoelastic material injection for anterior chamber reformation following trabeculectomy

Br J Ophthalmol. 2002 Nov;86(11):1225-7. doi: 10.1136/bjo.86.11.1225.

Abstract

Aim: To describe a novel technique to treat hypotony and shallow anterior chamber following trabeculectomy

Methods: Three patients who underwent fornix based trabeculectomy with mitomycin C (MMC) presented in the postoperative days with a shallow anterior chamber, hypotony, and overfiltrating blebs. They were treated with an injection of 0.2 ml of 16% perfluoropropane (C(3)F(8)) to the anterior chamber followed by an injection of a viscoelastic material.

Results: In all patients the anterior chamber was reformed successfully without any complications.

Conclusions: Patients with a shallow anterior chamber and overfiltrating blebs following a recent trabeculectomy can be treated successfully with a combination of a long acting gas and a viscoelastic material.

Publication types

  • Case Reports

MeSH terms

  • Anterior Chamber / physiopathology*
  • Elasticity
  • Female
  • Fluorocarbons / administration & dosage*
  • Glaucoma / physiopathology
  • Glaucoma / surgery
  • Humans
  • Hyaluronic Acid / administration & dosage*
  • Intraocular Pressure / physiology
  • Male
  • Middle Aged
  • Trabeculectomy / adverse effects*
  • Viscosity

Substances

  • Fluorocarbons
  • Hyaluronic Acid
  • perflutren