Intra-vitreal gas injection and supine positioning for hypotony post-intrascleral intraocular lens fixation.

Authors :: Kumoi M
Matsuda S
Matsuoka T
Tsujino C
Otori Y
Source :: American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2022 Feb 12; Vol. 26, pp. 101385. Date of Electronic Publication: 2022 Feb 12 (Print Publication: 2022).
Publication Year :: 2022
Abstract: Purpose: This study aimed to report a case of intravitreal gas injection in the supine position for hypotony after intrascleral intraocular lens (IOL) fixation in a patient with Vogt-Koyanagi-Harada (VKH) disease.<br />Observations: A 72-year-old Japanese female patient presented with blurred vision in her right eye. Both eyes exhibited a sunset glow fundus due to VKH disease. The right IOL was dislocated; therefore, IOL fixation was performed. The patient's hypotony and choroidal effusion persisted postoperatively and her intraocular pressure (IOP) remained 2-4 mmHg despite the performance of two steroid courses. C3F8 (perfluoro pane gas) was injected into the vitreous cavity on postoperative day 35. The patient was instructed to assume a supine position on the third day after injection. At 6 days post-injection, her IOP began to rise; her IOP remained within the normal range until 1 year later.<br />Conclusions and Importance: This is the first report of successful intravitreal gas injection in a supinated patient with VKH disease to treat postoperative hypotony.<br />Competing Interests: None.<br /> (© 2022 The Authors.)

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