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Bilateral malignant glaucoma.

P P Saunders1, G R Douglas, F Feldman

  • 1Department of Ophthalmology, University of British Columbia, Vancouver.

Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|February 1, 1992
PubMed
Summary
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Bilateral malignant glaucoma can affect both eyes sequentially or simultaneously. Treatment outcomes vary, with some cases requiring surgery while others respond to medical management.

Area of Science:

  • Ophthalmology
  • Glaucoma Research
  • Surgical Ophthalmology

Background:

  • Malignant glaucoma is a rare, severe form of angle-closure glaucoma.
  • It can present bilaterally, posing significant management challenges.

Observation:

  • Two distinct cases of bilateral malignant glaucoma are detailed.
  • Case 1: Sequential onset in both eyes; one eye required pars plana vitrectomy, the other responded to medical therapy.
  • Case 2: Simultaneous bilateral involvement one year post-surgery; both eyes responded to medical treatment.

Findings:

  • Bilateral malignant glaucoma can manifest with varying temporal patterns (sequential vs. simultaneous).
  • Treatment strategies may differ, with pars plana vitrectomy being a surgical option and medical management effective in certain scenarios.

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  • Response to treatment can be eye-specific even within the same patient.

    • Implications:

    • Highlights the complex and variable nature of bilateral malignant glaucoma.
    • Suggests individualized treatment approaches based on clinical presentation and response.
    • Informs surgical and medical management strategies for this challenging condition.