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      Use of a Special Device for the Treatment of Overf iltration after Glaucoma Filtering Surgery

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          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.

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          Author and article information

          S. Karger AG
          01 April 2010
          : 211
          : 2
          : 61-65
          Istituto di Oftamlogia, Università Federico II, Napoli, Italia
          310759 Ophthalmologica 1997;211:61–65
          © 1997 S. Karger AG, Basel

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          Pages: 5
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