Postoperative Flat Anterior Chamber Treatment & Management

  • Author: James V Aquavella, MD; Chief Editor: Hampton Roy Sr, MD   more...
 
Updated: Feb 16, 2010
 

Medical Care

  • Mannitol is used to dehydrate the vitreous that would overcome malignant glaucoma and other cases of refractory intraocular pressure elevation.
  • Diamox is used to lower the intraocular pressure and is useful in phacomorphic glaucoma.
  • Topical glaucoma medications should be used to control elevated intraocular pressure when possible.
  • Inflammation is managed with topical corticosteroids titrated to individual circumstances.
  • Atropine is useful with malignant glaucoma.
Proceed to Medication
 
 
Contributor Information and Disclosures
Author

James V Aquavella, MD  Professor of Ophthalmology, Department of Ophthalmology, University of Rochester School of Medicine, University of Rochester Eye Institute

James V Aquavella, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, American Medical Association, Contact Lens Association of Ophthalmologists, and International College of Surgeons

Disclosure: Nothing to disclose.

Coauthor(s)

Gregory J McCormick, MD  Consulting Staff, Corneal and Refractive Surgery, Vermont Laser Vision at Timber Lane and Ophthalmic Consultants of Vermont

Gregory J McCormick, MD is a member of the following medical societies: American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery, International Society of Refractive Surgery, and Medical Society of the State of New York

Disclosure: Nothing to disclose.

Specialty Editor Board

Bradford Shingleton, MD  Assistant Clinical Professor of Ophthalmology, Harvard Medical School; Consulting Staff, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary

Bradford Shingleton, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Ophthalmology

Disclosure: Nothing to disclose.

Simon K Law, MD, PharmD  Assistant Professor of Ophthalmology, Jules Stein Eye Institute; Chief of Section of Ophthalmology Surgical Services, Department of Veterans Affairs Healthcare Center, West Los Angeles

Simon K Law, MD, PharmD is a member of the following medical societies: American Academy of Ophthalmology, American Glaucoma Society, and Association for Research in Vision and Ophthalmology

Disclosure: Nothing to disclose.

J James Rowsey, MD  Former Director of Corneal Services, St Luke's Cataract and Laser Institute, Florida

J James Rowsey, MD is a member of the following medical societies: American Academy of Ophthalmology, American Association for the Advancement of Science, American Medical Association, Association for Research in Vision and Ophthalmology, Florida Medical Association, Pan-American Association of Ophthalmology, Sigma Xi, and Southern Medical Association

Disclosure: Nothing to disclose.

Lance L Brown, OD, MD  Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri

Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD  Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences

Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology

Disclosure: Nothing to disclose.

References

  1. [Guideline] Glaucoma Panel, Preferred Practice Patterns Committee. Primary open-angle glaucoma. San Francisco (CA): American Academy of Ophthalmology (AAO); 2005.

  2. Starita RJ, Klapper RM. Neodymium:YAG photodisruption of the anterior hyaloid face in aphakic flat chamber: a diagnostic and therapeutic tool. Int Ophthalmol Clin. 1985;25(3):119-23. [Medline].

  3. de Barros DS, Navarro JB, Mantravadi AV, et al. The early flat anterior chamber after trabeculectomy: a randomized, prospective study of 3 methods of management. J Glaucoma. Jan 2009;18(1):13-20. [Medline].

  4. Popovic V. Early choroidal detachment after trabeculectomy. Acta Ophthalmol Scand. Jun 1998;76(3):367-71. [Medline].

  5. Arevalo JF, Garcia RA, Fernandez CF. Anterior segment inflammation and hypotony after posterior segment surgery. Ophthalmol Clin North Am. Dec 2004;17(4):527-37, vi. [Medline].

  6. Azuara-Blanco A, Dua HS. Malignant glaucoma after diode laser cyclophotocoagulation. Am J Ophthalmol. Apr 1999;127(4):467-9. [Medline].

  7. Beigi B, O'Keefe M, Algawi K, Acheson R, Burke J. Sulphur hexafluoride in the treatment of flat anterior chamber following trabeculectomy. Eye. 1997;11 (Pt 5):672-6. [Medline].

  8. Chisalita D, Poiata I, Cozma D. [Postoperative flat anterior chamber. The therapeutic approach]. Oftalmologia. 1997;41(3):251-6. [Medline].

  9. Dugel PU, Heuer DK, Thach AB, Baerveldt G, Lee PP, Lloyd MA, et al. Annular peripheral choroidal detachment simulating aqueous misdirection after glaucoma surgery. Ophthalmology. Mar 1997;104(3):439-44. [Medline].

  10. Greenfield DS, Liebmann JM, Jee J, Ritch R. Late-onset bleb leaks after glaucoma filtering surgery. Arch Ophthalmol. Apr 1998;116(4):443-7. [Medline].

  11. Hatton MP, Perez VL, Dohlman CH. Corneal oedema in ocular hypotony. Exp Eye Res. Mar 2004;78(3):549-52. [Medline].

  12. O'Sullivan F, Dalton R, Rostron CK. Fibrin glue: an alternative method of wound closure in glaucoma surgery. J Glaucoma. Dec 1996;5(6):367-70. [Medline].

  13. Osher RH, Cionni RJ, Cohen JS. Re-forming the flat anterior chamber with Healon. J Cataract Refract Surg. May 1996;22(4):411-5. [Medline].

  14. Ritch R. Chronic angle-closure glaucoma. Glaucoma. 1999;189-194.

 
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