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Dr. Hagedoorn's letter was referred to Dr. Fine who offers the following reply:
To the Editor:
I certainly agree with Dr. Hagedoorn that his patient's absent anterior chamber was due to a pupillary block from posterior synechias to the vitreous face. In such a case, I would expect aqueous secretory inhibitors to be of no value in reforming the anterior chamber.In our experience, a wound leak has been by far the most frequent cause of postoperative absent anterior chamber. In some instances the elevated intraocular pressure resulting from a transient pupillary block may cause a wound separation. As aqueous accumulates in the posterior chamber, the pressure there increases until aqueous may dissect its way between the vitreous fact and iris. The pupillary block is then spontaneously broken, and aqueous will flow into the anterior chamber and out the wound separation. In such a case, the absent anterior chamber will
Fine LM. ABSENT ANTERIOR CHAMBER-Reply. Arch Ophthalmol. 1965;74(4):557. doi:10.1001/archopht.1965.00970040558029