Anterior Chamber Sulfur Hexafluoride (SF6) Injection for the Management of Postsurgery Hypotony in Glaucoma Patients.

Details

Serval ID
serval:BIB_C81E4B446551
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Anterior Chamber Sulfur Hexafluoride (SF6) Injection for the Management of Postsurgery Hypotony in Glaucoma Patients.
Journal
Journal of glaucoma
Author(s)
Gotzaridis S.V., Portaliou D.M., Mela V.A., Xanthopoulou P., Kymionis G.D.
ISSN
1536-481X (Electronic)
ISSN-L
1057-0829
Publication state
Published
Issued date
05/2018
Peer-reviewed
Oui
Volume
27
Number
5
Pages
476-479
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The purpose of this article was to describe a new technique involving the injection of sulfur hexafluoride (SF6) gas in the anterior chamber (A/C) for the management of hypotony in patients with previous glaucoma surgery.
Seven patients were included in this prospective case series. All patients had advanced glaucoma that was managed surgically either by trabeculectomy (6 patients) or Ahmed valve (1 patient). All patients presented with intraocular pressure (IOP) <7 mm Ηg, shallow A/C, and ultrasound images of choroidal detachment and ciliary body detachment. Patients' hypotony was treated by 0.4 to 0.6 mL of 100% pure SF6 injection in the A/C followed by supine posture. The purpose of this injection was dual: to displace the ciliary body to its normal position and restore aqueous humor normal production, and to block aqueous humor outflow through bubble formation, causing an increase in IOP.
Surgical technique was successful in all 7 patients with IOP normalization (>10 mm Hg) and A/C depth increase within the first week after surgery.
A new surgical technique of SF6 injection in the A/C for patients with choroidal detachment and hypotony shows promising results.
Pubmed
Web of science
Create date
11/09/2018 13:22
Last modification date
20/08/2019 16:43
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