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Pseudophakic malignant glaucoma in a child.

R B Vajpayee1, D Talwar

  • 1Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi.

Ophthalmic Surgery
|May 1, 1991
PubMed
Summary
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This study details a rare case of malignant glaucoma in an 8-year-old child following cataract surgery. Vitreous aspiration and anterior chamber reformation successfully treated the pseudophakic glaucoma.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Glaucoma Research

Background:

  • Congenital zonular cataracts necessitate early intervention, often involving cataract extraction and intraocular lens (IOL) implantation.
  • Extracapsular cataract extraction with posterior chamber IOL implantation is a standard procedure for pediatric cataracts.
  • Pseudophakic glaucoma is a known but uncommon complication following intraocular surgery.

Observation:

  • An 8-year-old child developed malignant glaucoma in the operated eye during the early postoperative period after congenital cataract surgery.
  • The patient had undergone extracapsular cataract extraction with a modified Sinskey type posterior chamber intraocular lens.
  • Initial management with intensive medical antiglaucoma therapy failed to resolve the elevated intraocular pressure.

Findings:

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  • Vitreous aspiration was performed to address the intractable glaucoma.
  • Anterior chamber reformation was concurrently performed as part of the intervention.
  • These procedures successfully resolved the malignant glaucoma attack, restoring normal intraocular pressure.

Implications:

  • This case highlights the importance of considering malignant glaucoma in pediatric pseudophakic eyes presenting with acute glaucoma postoperatively.
  • Prompt surgical intervention, including vitreous aspiration and anterior chamber reformation, can be effective when medical management fails.
  • Understanding and timely management of this complication are crucial for preserving vision in pediatric glaucoma patients.