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Saline injection used to treat postoperative hypotony
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Hypotony after intraocular surgery can be successfully treated with a single injection of balanced salt solution, according to a recent report.
While chronic postoperative hypotony after intraocular surgery is rare, effective treatment must be initiated to avoid secondary complications, said Irmela Mantel, MD, and Isaak Schipper, MD, of the Eye Clinic at Cantonal Hospital in Lucerne, Switzerland, in an article published in the May/June 2001 edition of Ophthalmic Surgery and Lasers, a SLACK Incorporated publication.
In "A simple treatment for chronic postoperative hypotony of unknown etiology: The injection of balanced salt solution into the anterior chamber," Drs. Mantel and Schipper reported on two cases of postoperative hypotony. One patient developed hypotony three months after combined cataract surgery and trabeculectomy with the use of mitomycin C. A single injection of BSS into the anterior chamber successfully managed the hypotony. A second patient with hypotony after pars plana vitrectomy was also treated successfully with an injection of BSS into the anterior chamber.