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

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

Rita Ehrlich

Case reports in ophthalmology

1mo

Case reportCase reports in ophthalmology· Jan 2026

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

Malachy Nemet, Maya Kalev-Landoy, Rita Ehrlich, Liat Mendel-Veig

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GlaucomaCase reportTreatmentQ3IF 0.6

Anterior chamber sulfur hexafluoride injection rapidly increased eye pressure within 24 hours.

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

Malachy Nemet … Liat Mendel-Veig

Case reports in ophthalmology · Jan 2026 · Q3 in Ophthalmology

Background

Hypotony is a potentially vision-threatening condition that may persist despite conservative management, often necessitating surgical or interventional treatment.

Results

Intraocular pressure rapidly increased within 24 hours after the sulfur hexafluoride injection.

More results

We present a case where a minimally invasive injection of 100% sulfur hexafluoride (SF6) into the anterior chamber (anterior chamber) successfully reversed refractory hypotony secondary to ciliary body shut-down.

More results

CASE PRESENTATION: A 72-year-old male with advanced pseudoexfoliation glaucoma and a nonfunctioning trabeculectomy presented with hypotony, decreased vision, a deep anterior chamber, and 360° serous choroidal effusions.

Given the refractory course, 100% SF6 gas was injected into the anterior chamber.

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Conclusion

This case highlights the potential of SF6 gas injection as a minimally invasive and effective treatment for refractory hypotony, even when the underlying mechanism is not over-filtration.

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