On reviewing the literature it is apparent that the final chapter on the complication of flat anterior chamber following cataract extraction has not been written. We continue to read about the mechanism and management of this complication along with its incidence of 6%-15% even though it should be nearing extinction on the ophthalmic scene.
Many of the surveys on flat anterior chamber are compiled by reviewing case records over a period of years at our larger institutions.1,2 This immediately introduces a great multitude of variables that renders any conclusions drawn invalid, largely meaningless, and even misleading. These surveys usually contain the results of many surgeons with varying techniques and individual skills. Little is mentioned of these varying and changing techniques including type of section (shelving, vertical, or notch), type of conjunctival flap, if any, and, most important, the type of closure. In a single series the method of wound
TAYLOR DM. Is the Flat Anterior Chamber Syndrome Necessary?. Arch Ophthalmol. 1965;74(2):161-162. doi:10.1001/archopht.1965.00970040163006