DOI: 10.36347/sjams.2020.v08i05.026

Pages: 1299-1301

Shallow anterior chamber (AC) with or without hypotony comprises one of the important post-operative complications of trabeculectomy surgery. The shallow anterior chamber may lead to secondary complications like synechiae formation, cataract progression, corneal endothelial decompensation, hypotony maculopathy, and persistent choroidal detachment. In this report, we describe a case of primary angle closure glaucoma that underwent trabeculectomy with MMC in which the post-operative period was complicated with refractory shallowing of AC presenting 4 weeks after trabeculectomy. This shallowing of AC didn’t respond to conservative treatment and AC reformation with BSS. The patient was ultimately successfully treated with intracameral injection of Sodium Hyaluronate and Sulphur hexafluoride (SF6). This procedure can be a simple, safe, and effective treatment modality in such cases where conservative management has failed.