Anterior Chamber Sulfur Hexafluoride Injection for Hypotony Management: Case Report and Literature Review.

ABSTRACT:

Introduction

Hypotony is a potentially vision-threatening condition that may persist despite conservative management, often necessitating surgical or interventional treatment. We present a case where a minimally invasive injection of 100% sulfur hexafluoride (SF6) into the anterior chamber (AC) successfully reversed refractory hypotony secondary to ciliary body shut-down.

Case presentation

A 72-year-old male with advanced pseudoexfoliation glaucoma and a nonfunctioning trabeculectomy presented with hypotony, decreased vision, a deep AC, and 360° serous choroidal effusions. After excluding other etiologies, ciliary body shutdown was presumed. Conventional measures, including topical steroids, cycloplegia, and AC viscoelastic injection, failed to restore intraocular pressure (

SUBMITTER: Nemet M 

PROVIDER: S-EPMC12854686 | biostudies-literature | 2026 Jan-Dec

REPOSITORIES: biostudies-literature