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Related Experiment Videos

Simultaneous bilateral malignant glaucoma following laser iridotomy

A Aminlari1, J W Sassani

  • 1Department of Ophthalmology, Penn State University, College of Medicine, Hershey 17033.

Graefe'S Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Malignant glaucoma can occur after laser iridotomy for angle-closure glaucoma. Prompt treatment with atropine and cyclopentolate can resolve this serious complication.

Area of Science:

  • Ophthalmology
  • Glaucoma Research
  • Pharmacology

Background:

  • Angle-closure glaucoma (ACG) management often involves laser iridotomy.
  • Malignant glaucoma is a rare but severe complication.
  • Identifying potential triggers and effective treatments is crucial.

Observation:

  • A 50-year-old woman developed bilateral malignant glaucoma four weeks post-laser iridotomy for ACG.
  • Hydrochlorothiazide therapy was a potential precipitating factor.
  • Pilocarpine exacerbated the condition, while atropine and cyclopentolate resolved it.

Findings:

  • Laser iridotomy for ACG can precipitate malignant glaucoma.
  • Specific medications can trigger or worsen malignant glaucoma.
  • Anticholinergic agents like atropine and cyclopentolate are effective in treating malignant glaucoma.

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Implications:

  • Clinicians should be vigilant for malignant glaucoma after laser iridotomy.
  • Reviewing patient medications, including diuretics and miotics, is essential.
  • Anticholinergic therapy should be considered for managing malignant glaucoma post-iridotomy.