Titre du document / Document title

Sulphur hexafluoride in the treatment of flat anterior chamber following trabeculectomy

Auteur(s) / Author(s)

BEIGI B. ⁽¹⁾ ; O'KEEFE M. ⁽²⁾ ; ALGAWI K. ⁽²⁾ ; ACHESON R. ⁽²⁾ ; BURKE J. ⁽³⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Adnexal Service, Moorfields Eye Hospital, London, ROYAUME-UNI
⁽²⁾ Department of Ophthalmology, Mater Misericordiae Hospital, University College Dublin, IRLANDE
⁽³⁾ Department of Ophthalmology, Royal Hallamshire Hospital, Sheffield, ROYAUME-UNI

Résumé / Abstract

The efficacy and side effects of sulphur hexafluoride (SF₆) in the reformation of the flat anterior chamber (AC) after standard trabeculectomies were studied. Ten patients with lenticulocorneal touch following trabeculectomy were enrolled. All had water-tight conjunctival wounds with overflowing fistulas. In 5, one to four surgical attempts to reform the AC were unsuccessful. Two to seven days after trabeculectomy, the AC was reformed by a single injection of SF₆/air mixture (20-40%). Gas was injected through the limbus at 3 or 9 o'clock. The AC remained deep after absorption of the gas in 2-7 days. All patients had stromal oedema in the first 4 days. This resolved and specular microscopy did not show any abnormality. After a mean follow-up of 2.5 years, all had normal intraocular pressure, 3 with one topical antiglaucoma treatment. Three patients developed cataracts before and 3 after reformation of the AC. The latter 3 were not anterior capsular cataracts as induced by gases. SF₆/air mixture (20-40%) is inert and kind to the cornea and, as it is absorbed in less than 7 days, it exerts minimal damage to the crystalline lens. It is effective in the reformation of flat ACs.

Revue / Journal Title

Eye   ISSN 0950-222X   CODEN EYEEEC 

Source / Source

1997, vol. 11 (5), pp. 672-676 (23 ref.)

Langue / Language

Anglais

Editeur / Publisher

Nature Publishing Group, Basingstoke, ROYAUME-UNI  (1987) (Revue)

Mots-clés anglais / English Keywords

Trabeculectomy ; Athalamia ; Injection ; Treatment ; Human ; Surgery ; Eye disease ; Anterior segment disease ;

Mots-clés français / French Keywords

Trabéculectomie ; Athalamie ; Injection ; Traitement ; Homme ; Sulfur hexafluoride ; Chirurgie ; Oeil pathologie ; Segment antérieur pathologie ;

Mots-clés espagnols / Spanish Keywords

Trabeculectomía ; Atalamia ; Inyección ; Tratamiento ; Hombre ; Cirugía ; Ojo patología ; Segmento anterior patología ;

Localisation / Location

INIST-CNRS, Cote INIST : 21076, 35400007944136.0150