Based on postoperative IOP, both viscoelastics can be equally well removed from the anterior chamber. Incidence of high IOP using high-viscosity hyaluronic acid is minimized by the described removal technique.
There is no evidence for progression of this anomaly during life. No therapeutical consequences are necessary. To preserve a satisfactory function a conscientious orthoptical maintainance should be guaranteed.
Further efforts should be directed to maintain the intact corneoscleral morphology of the canal, created by an optimized method of the surgical technique. The application of antimetabolites in correct dosage or the implantation of modified silicon draining systems would be helpful.
Analysis of the fructose levels in the anterior eye segment showed that significant quantities of fructose were present in the corneal epithelium with a concentration gradient to the stroma and to the aqueous humour. Having removed the corneal epithelium, the fructose in the corneal stroma and the aqueous humour was significantly diminished. In aphakic eyes without corneal epithelium, the fructose levels were decreased to nearly zero values both in the corneal stroma and in the aqueous humour. It is concluded that the corneal epithelium is able to synthesize fructose and release it into the stroma and the aqueous humour.
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