Post-Operative Management of Anterior Chamber Gas

Postoperative medication included topical prednisolone acetate 1% or dexamethasone 1% five times daily in tapering dosage over at least 12 months and unpreserved topical antibiotic eye drops with ofloxacin for two weeks, as well as preservative-free artificial tears (five times a daily). In addition, in the two cases with gas in the anterior chamber Pilocarpine 2% eye drops were applied three times a day for as long as the gas covered the lower edge of the pupil, and the patients were instructed to maintain a strict supine postoperative position for at least for three days, with only bathroom privileges and continuous intraocular pressure (IOP) monitoring. ²⁰Due to the high-risk constellation in these cases, systemic immunosuppression was prescribed, initially with cortisone and mycophenolate mofetil 1 gram twice daily, reduced to mycophenolate mofetil alone after 4 weeks. Immunosuppressive therapy was maintained for at least 1 year. One case with herpetic corneal disease received no immunosuppressive therapy, but long-term topical Ganciclovir and systemic Acyclovir and Prednisolone.