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Treat hypotony with a flat chamber in a timely manner
LAS VEGAS — Hypotony associated with a flat chamber after filtration surgery should be treated “in a timely manner,” according to one surgeon.
“Try conservative treatment first,” Marlene R. Moster, MD, said here at a session on glaucoma surgical complications at the Ocular Surgery News Symposium, Glaucoma: Improving Your Odds. She advised physicians to move on to surgical intervention if necessary.
She spoke about what might cause hypotony after filtering surgery and how to avoid overfiltration.
“Why are we getting too much of a good thing?” she asked rhetorically.
Hypotony could be caused by cutting flap sutures too early with a laser, by removing sutures too early, by not tying the flap down tightly enough or because of a snapped suture, she said.