Surgical management of malignant glaucoma with white cataract in nanophthalmos

We present a 49-year-old woman with nanophthalmos, white cataract, and malignant glaucoma in her left eye. The corrected distance visual acuity (CDVA) in that eye was hand motion, and the intraocular pressure (IOP) fluctuated between 28 mm Hg and 45 mm Hg with antiglaucoma medications. An unsutured sclerectomy combined with zonulectomy, hyaloidectomy, and anterior vitrectomy was performed. At 6 months postoperatively, the IOP was maintained at 12 mm Hg, the anterior chamber was deep, and the Snellen CDVA was 20/80. No intraoperative or postoperative complications were observed. The outcome in this case suggests that sclerectomy combined with phacoemulsification, zonulectomy, hyaloidectomy, and anterior vitrectomy is effective for the management of nanophthalmic patients with white cataract and malignant glaucoma.