May 2005
Volume 46, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2005
Management of Severe Hypotony With Intravitreal Injection of Healon GV
Author Affiliations & Notes
  • G. Tosi
    Dept of Ophthalmology, University of Siena, Siena, Italy
    Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University, New York, New York, USA, Columbia University, New York, New York, USA, NY
  • W. Schiff
    Dept of Ophthalmology, Columbia University, New York, NY
  • G. Barile
    Dept of Ophthalmology, Columbia University, New York, NY
  • N. Yoshida
    Dept of Ophthalmology, Columbia University, New York, NY
  • S. Chang
    Dept of Ophthalmology, Columbia University, New York, NY
  • Footnotes
    Commercial Relationships  G. Tosi, None; W. Schiff, None; G. Barile, None; N. Yoshida, None; S. Chang, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science May 2005, Vol.46, 5493. doi:
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      G. Tosi, W. Schiff, G. Barile, N. Yoshida, S. Chang; Management of Severe Hypotony With Intravitreal Injection of Healon GV . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5493.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose: To investigate the effect of intravitreal injection of Healon GV® (sodium hyaluronate 1.4%) in the management of severe hypotony. Methods: 0.3 ml of Healon GV was injected intravitreally to treat unresponsive hypotony (1–2 mmHg) following successful repair of longstanding retinal detachment in three patients and following chronic uveitis in one patient. Results: Patients were followed up for 2, 3, 8 and 16 months, respectively. IOP returned within normal range in two patients (14 and 10 mmHg, respectively) and increased from 1 to 5 mmHg in the other two. All patients experienced an improvement in VA, ocular discomfort and ocular findings. No complications were observed. Conclusions: In the four patients here analyzed, intravitreal injection of Healon GV was helpful in reducing the structural and functional changes induced by severe hypotony. A more numerous case series, studied prospectively, is needed before drawing definitive conclusions.

Keywords: intraocular pressure • retinal detachment • proliferative vitreoretinopathy 
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