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Malignant glaucoma after diode laser cyclophotocoagulation.

A Azuara-Blanco1, H S Dua

  • 1Department of Ophthalmology, Queen's Medical Centre, University of Nottingham, England. nezaa@unix.ccc.nottingham.ac.uk

American Journal of Ophthalmology
|April 28, 1999
PubMed
Summary
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Malignant glaucoma, a rare complication, can occur after diode laser cyclophotocoagulation. This case report highlights a successful treatment using Nd:YAG laser capsulotomy for this severe eye condition.

Area of Science:

  • Ophthalmology
  • Glaucoma Research
  • Surgical Complications

Background:

  • Diode laser cyclophotocoagulation is a treatment for refractory glaucoma.
  • Secondary glaucoma can arise after ocular surgeries like cataract extraction and corneoscleral grafts.

Observation:

  • A 45-year-old male with secondary glaucoma underwent diode laser cyclophotocoagulation.
  • Post-procedure, the patient developed malignant glaucoma with a flat anterior chamber and posterior capsule apposition to the endothelium.

Findings:

  • The case demonstrated malignant glaucoma occurring subsequent to diode laser cyclophotocoagulation.
  • Intraocular pressure was managed at 20 mm Hg.
  • Neodymium-doped yttrium aluminum garnet (Nd:YAG) laser capsulotomy effectively resolved the malignant glaucoma attack, deepening the anterior chamber.

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Implications:

  • This case underscores the potential risk of malignant glaucoma following diode laser cyclophotocoagulation.
  • Nd:YAG laser capsulotomy presents a viable treatment option for this specific complication.