Two cases of malignant glaucoma unresolved by pars plana vitrectomy

Yoshikatsu Hosoda, Tadamichi Akagi, Nagahisa YoshimuraDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanAbstract: Malignant glaucoma, which is characterized by a shallow or flat anterior chamber with high intraocular pressure, can usually be...

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Autores principales:	Hosoda Y, Akagi T, Yoshimura N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/6f89bfd4209942969421219bebbbbd32
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spelling	oai:doaj.org-article:6f89bfd4209942969421219bebbbbd322021-12-02T05:02:20ZTwo cases of malignant glaucoma unresolved by pars plana vitrectomy1177-5483https://doaj.org/article/6f89bfd4209942969421219bebbbbd322014-04-01T00:00:00Zhttp://www.dovepress.com/two-cases-of-malignant-glaucoma-unresolved-by-pars-plana-vitrectomy-a16324https://doaj.org/toc/1177-5483 Yoshikatsu Hosoda, Tadamichi Akagi, Nagahisa YoshimuraDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanAbstract: Malignant glaucoma, which is characterized by a shallow or flat anterior chamber with high intraocular pressure, can usually be resolved by pars plana vitrectomy with anterior hyaloidectomy. We describe two cases in which malignant glaucoma was refractory to conventional treatment and complete vitrectomy. Case one an 88-year-old woman with pseudoexfoliation glaucoma underwent trabeculotomy and subsequently developed malignant glaucoma. Four months after transient recovery by pars plana vitrectomy, the malignant glaucoma recurred. She underwent peripheral iridectomy and local zonulectomy with successful control of her intraocular pressure. In case two, an 85-year-old man had a history of pseudoexfoliation glaucoma. Seven months after phacoemulsification and intraocular lens implantation, he developed malignant glaucoma that was refractory to pars plana vitrectomy. He underwent peripheral iridectomy, goniosynechialysis and trabectome surgery resulting in the successful control of his intraocular pressure. In rare cases of malignant glaucoma refractive to vitrectomy, peripheral iridectomy with or without local zonulectomy is a reasonable and minimally invasive surgical procedure.Keywords: malignant glaucoma, pars plana vitrectomy, peripheral iridectomyHosoda YAkagi TYoshimura NDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 677-679 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Hosoda Y Akagi T Yoshimura N Two cases of malignant glaucoma unresolved by pars plana vitrectomy
description	Yoshikatsu Hosoda, Tadamichi Akagi, Nagahisa YoshimuraDepartment of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, JapanAbstract: Malignant glaucoma, which is characterized by a shallow or flat anterior chamber with high intraocular pressure, can usually be resolved by pars plana vitrectomy with anterior hyaloidectomy. We describe two cases in which malignant glaucoma was refractory to conventional treatment and complete vitrectomy. Case one an 88-year-old woman with pseudoexfoliation glaucoma underwent trabeculotomy and subsequently developed malignant glaucoma. Four months after transient recovery by pars plana vitrectomy, the malignant glaucoma recurred. She underwent peripheral iridectomy and local zonulectomy with successful control of her intraocular pressure. In case two, an 85-year-old man had a history of pseudoexfoliation glaucoma. Seven months after phacoemulsification and intraocular lens implantation, he developed malignant glaucoma that was refractory to pars plana vitrectomy. He underwent peripheral iridectomy, goniosynechialysis and trabectome surgery resulting in the successful control of his intraocular pressure. In rare cases of malignant glaucoma refractive to vitrectomy, peripheral iridectomy with or without local zonulectomy is a reasonable and minimally invasive surgical procedure.Keywords: malignant glaucoma, pars plana vitrectomy, peripheral iridectomy
format	article
author	Hosoda Y Akagi T Yoshimura N
author_facet	Hosoda Y Akagi T Yoshimura N
author_sort	Hosoda Y
title	Two cases of malignant glaucoma unresolved by pars plana vitrectomy
title_short	Two cases of malignant glaucoma unresolved by pars plana vitrectomy
title_full	Two cases of malignant glaucoma unresolved by pars plana vitrectomy
title_fullStr	Two cases of malignant glaucoma unresolved by pars plana vitrectomy
title_full_unstemmed	Two cases of malignant glaucoma unresolved by pars plana vitrectomy
title_sort	two cases of malignant glaucoma unresolved by pars plana vitrectomy
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/6f89bfd4209942969421219bebbbbd32
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Two cases of malignant glaucoma unresolved by pars plana vitrectomy

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