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Late-onset malignant glaucoma associated with Soemmering's ring: A case report
Omar Nusair1, Allison Harmel1, Gulrukh Shaheen1
1Kittner Eye Center, University of North Carolina-Chapel Hill, United States.
The Journal of International Medical Research
|August 20, 2025
Summary
Late-onset malignant glaucoma can occur years after cataract surgery. A Soemmering's ring may precipitate this condition, effectively treated with iridozonulohyaloidectomy and vitrectomy.
Area of Science:
- Ophthalmology
- Glaucoma Research
Background:
- Malignant glaucoma (MG) typically follows angle-closure surgery.
- Late-onset MG can occur years after various ocular procedures, including cataract surgery.
Purpose of the Study:
- To report a case of late-onset malignant glaucoma after cataract surgery.
- To highlight the role of Soemmering's ring in precipitating MG.
- To emphasize the efficacy of iridozonulohyaloidectomy in treating pseudophakic MG.
Main Methods:
- Case report of an elderly African-American woman.
- Clinical examination, imaging, and surgical intervention.
- Management included aqueous humor suppressants, laser peripheral iridotomy, and iridozonulohyaloidectomy with vitrectomy.
Main Results:
- The patient developed malignant glaucoma 7 years post-cataract surgery.
- A Soemmering's ring was identified as a potential precipitant.
- Iridozonulohyaloidectomy with vitrectomy led to significant improvement in intraocular pressure and vision.
Conclusions:
- Soemmering's ring can precipitate late-onset malignant glaucoma.
- Iridozonulohyaloidectomy with vitrectomy is an effective treatment for pseudophakic malignant glaucoma.
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