Inflation of the anterior chamber (AC) and drainage of choroidal detachments were performed in 47 eyes with flat AC after cataract surgery. None of these eyes had an external wound-leak. Following surgical repair, the flat AC recurred for a short period of time in 61.7% of these eyes. Patients with preexisting chronic simple glaucoma had a higher incidence of flat AC after cataract surgery than those in nonglaucoma groups. Secondary glaucoma did not develop in eyes with aphakic flat AC of six days' duration or less, but did develop in 13.5% of eyes repaired after that time. To prevent secondary glaucoma, surgical repair within the first five days is suggested for eyes with flat AC unresponsive to medical therapy.
Cotlier E. Aphakic Flat Anterior ChamberIII. Effect of Inflation of the Anterior Chamber and Drainage of Choroidal Detachments. Arch Ophthalmol. 1972;88(1):16-21. doi:10.1001/archopht.1972.01000030018005