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Pseudophakic malignant glaucoma - a case report.

Alin Ștefan Ștefănescu-Dima1,2, Cornelia Andreea Tănasie3,2, Maria Filoftea Mercuț2

  • 1Department of Ophthalmology, University of Medicine and Pharmacy of Craiova, Romania.

Romanian Journal of Ophthalmology
|November 6, 2019
PubMed
Summary
This summary is machine-generated.

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Malignant glaucoma in pseudophakic eyes can be sight-threatening. Pars plana anterior vitrectomy effectively resolved malignant glaucoma in a pseudophakic patient when other treatments failed.

Area of Science:

  • Ophthalmology
  • Glaucoma Research
  • Surgical Case Reports

Background:

  • Malignant glaucoma is a rare, severe form of angle-closure glaucoma.
  • It can occur in pseudophakic eyes, posing a significant management challenge.
  • Early diagnosis and intervention are crucial for visual preservation.

Observation:

  • An 80-year-old female presented with acute vision loss and severe ocular pain in her left eye.
  • Initial examination revealed a shallow anterior chamber, high intraocular pressure (80 mmHg), and pseudophakia.
  • Despite laser iridotomy and medical management, intraocular pressure remained elevated (55 mmHg) with corneal edema.

Findings:

  • The patient was diagnosed with pseudophakic malignant glaucoma.
  • Laser YAG capsulotomy did not resolve the condition.
Keywords:
cycloplegicslaser iridotomymalignant glaucomapars plana anterior vitrectomy

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  • Pars plana anterior vitrectomy was performed, leading to a decrease in intraocular pressure to 20 mmHg and restoration of anterior chamber depth.
  • Implications:

    • Pars plana anterior vitrectomy is a viable and effective treatment for malignant glaucoma in pseudophakic patients.
    • This case highlights the importance of considering surgical intervention when conservative measures fail.
    • Further research may elucidate the specific mechanisms of malignant glaucoma in pseudophakic eyes.