USE OF A SPECIAL DEVICE FOR THE TREATMENT OF OVERFILTRATION AFTER GLAUCOMA FILTERING SURGERY

Background: Standardized A and B scan echography were used to look for the possible presence of ciliochoroidal detachment in patients with f lat anterior chamber following glaucoma filtering surgery. For this pu rpose, a scleral shell filled with saline solution was inserted betwee n the lids. As a deepening of the anterior chamber was found in some p atients, we planned to utilize these devices for the treatment of flat anterior chambers after glaucoma filtering surgery. Methods: 16 patie nts with flat anterior chambers after glaucoma filtering surgery under went the insertion of a scleral shell filled with saline solution betw een 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 p rocedures 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 echog raphy to look for any ciliary body detachment.