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- Publisher
- Karger
- Copyright
- © 1997 S. Karger AG, Basel
- ISSN
- 0030-3755
- eISSN
- 1423-0267
- DOI
- 10.1159/000310759
- Publisher site
- See Article on Publisher Site
Abstract
Background: Standardized A and B scan echography were used to look for the possible presence of ciliochoroidal detachment in patients with flat anterior chamber following glaucoma filtering surgery. For this purpose, a scleral shell filled with saline solution was inserted between the lids. As a deepening of the anterior chamber was found in some patients, we planned to utilize these devices for the treatment of flat anterior chambers after glaucoma filtering surgery. Methods: 16 patients with flat anterior chambers after glaucoma filtering surgery underwent the insertion of a scleral shell filled with saline solution between the lids. The shell was left in place for 15 min. Results: In all of our patients a deepening of the anterior chamber was achieved. In 5 patients 1 application, in 6 patients 2 applications, in 4 patients 3 applications were needed. Conclusions: The advantages of using this procedures are: the procedure is quick; it does not disturb the corneal epithelium; it is cheap; it does not require suturing the conjunctiva; it can be part of the examination of the anterior segment with echography to look for any ciliary body detachment.
Journal
Ophthalmologica – Karger
Published: Jan 1, 2010
Keywords: Glaucoma filtering surgery; Echography; Immersion scleral shells; Flat anterior chamber