الفهرس 
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Abstract
Summary
The main causes of delayed formation of anterior chamber are:
A) In relation to intraocular pressure:
I- With soft tension
1- Choroidal separation.
2- Suppression of aqueous production.
3- Wound leak.
II- With high tension
1- Pupillary block.
2- Delayed sudden evacuation of aqueous.
3- After cyclitis.
A through clinical examination is necessary to find the cause:
1- Slit lamp examination by fluorescein 2% may detect wound leak.
2- Fundus examination for choroidal detachment.
3- Gonioscopy for peripheral anterior synechia.
4- Tonometry for measurement of intraocular pressure.
Complications:
1- Peripheral anterior synechia.
2- Glaucoma by pubillary block.
3- Hypotony.
4- Malignant glaucoma.
5- Inflammation and keratopathy.
6- Epithelial downgrowth.
Proper preoperative precautions are “important”in decreasing the incidence of this complication by eradicating any cause of strain, improving the general condition and proper sedation.
Operative precautions are so important in decreasing this complication by proper section, proper adequate sutures, complete reposition of iris or any capsule or vitreous remnants.
Within 24 hours after surgery:
1- If gross wound leak is present, surgical correction is indicated.
2- If no apparent leak is present, wait 3-5 days.
After 5 days:
Fluorescein and slit lamp examination:
1- If there is wound leak. Surgery is indicated.
2- Bilateral bandage and flowers position.
3- Diamox tablets are advised in all cases except cases with aqueous suppression.
4- Mydriatics to prevent pubillary block and peripheral anterior synechia.
5- Surgical treatment is the last resortion which may be in the form of iridectomy, anterior vitrectomy cyclodialysis and cycloanaemization.