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Clinical Management of Malignant Glaucoma
Julie Foreman-Larkin1, Peter A Netland2, Sarwat Salim3
1Leoni Eye Clinic, 203 Rue Louis XIV, Lafayette, LA 70508, USA.
Journal of Ophthalmology
|January 29, 2016
Summary
Malignant glaucoma, a severe complication after eye surgery, is often seen in patients with prior angle closure glaucoma. This review covers its causes, diagnosis, and management.
Area of Science:
- Ophthalmology
- Glaucoma Research
Background:
- Malignant glaucoma is a challenging complication following ocular surgery.
- It most frequently occurs after glaucoma surgery in eyes with pre-existing chronic angle closure.
- Diagnosis involves a patent peripheral iridotomy and anterior chamber flattening.
Purpose of the Study:
- To review the pathophysiology of malignant glaucoma.
- To discuss differential diagnosis and imaging for this condition.
- To outline current treatment strategies for secondary glaucoma.
Main Methods:
- Literature review of malignant glaucoma.
- Analysis of proposed etiological mechanisms.
- Synthesis of diagnostic criteria and treatment options.
Main Results:
- Malignant glaucoma etiology is not fully understood, but posterior aqueous misdirection is a leading theory.
- Intraocular pressure is typically elevated but can be normal.
- Management requires a comprehensive approach considering various factors.
Conclusions:
- Malignant glaucoma necessitates a thorough understanding of its complex pathophysiology.
- Accurate diagnosis and timely intervention are crucial for visual outcomes.
- Further research into the exact mechanisms may improve treatment efficacy.
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