We appreciate Chen et al's comments regarding our article.1
Their experience corroborates our conclusion that phacoemulsification surgery
can be associated with a significant elevation in IOP in previously filtered
eyes with hypotony. Chen et al's findings of continued hypotony in a higher
percentage of eyes compared with our series may support our recommendations
to leave viscoelastic in these eyes at case conclusion and to minimize perioperative
use of anti-inflammatory medications.
Doyle JW, Smith MF. Cataract Extraction and Hypotony After Trabeculectomy. Arch Ophthalmol. 2001;119(5):783. doi: