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[Malignant glaucoma and severe myopia. Report of a case]
1Institut Hédi Rais d'ophtalmologie de Tunis, Service B.
Journal Francais D'Ophtalmologie
|March 27, 2002
Summary
Malignant glaucoma, a rare complication, can occur after glaucoma surgery even in open-angle glaucoma cases. This case highlights a successful treatment involving cataract extraction and vitrectomy for a myopic patient.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Surgical Complications
Background:
- Malignant glaucoma is a rare but severe complication, often following glaucoma filtration surgery.
- It is more common after surgery for angle closure glaucoma but can rarely occur in open-angle glaucoma.
Observation:
- A case report of a 38-year-old highly myopic woman with primary open-angle glaucoma who developed malignant glaucoma post-trabeculectomy.
- The patient underwent extracapsular cataract extraction, vitrectomy with anterior hyaloid removal, and preventive circular buckling.
Findings:
- The treatment successfully managed the malignant glaucoma.
- Late postoperative complications included anterior synechiae and persistent ocular hypertension.
Implications:
- This case expands understanding of malignant glaucoma occurrence in open-angle glaucoma patients.
- It underscores the importance of considering varied therapeutic approaches for this challenging condition.