Spontaneous simultaneous bilateral malignant glaucoma of a patient with no antecedent history of medical or surgical eye diseases

Elias F Jarade,1,2 Ali Dirani,3 Elyse Jabbour,3 Joelle Antoun,3 Karim F Tomey11Beirut Eye Specialist Hospital, Beirut, Lebanon; 2Mediclinic Dubai Mall, Dubai, United Arab Emirates; 3Hotel Dieu de France Hospital, Saint Joseph University, Beirut, LebanonPurpose: Malignant glaucoma, or aqueous misdir...

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Autores principales:	Jarade EF, Dirani A, Jabbour E, Antoun J, Tomey KF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/9540573ca3f34b43a20e869cdd7f63b2
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spelling	oai:doaj.org-article:9540573ca3f34b43a20e869cdd7f63b22021-12-02T02:54:44ZSpontaneous simultaneous bilateral malignant glaucoma of a patient with no antecedent history of medical or surgical eye diseases1177-5483https://doaj.org/article/9540573ca3f34b43a20e869cdd7f63b22014-05-01T00:00:00Zhttp://www.dovepress.com/spontaneous-simultaneous-bilateral-malignant-glaucoma-of-a-patient-wit-a17002https://doaj.org/toc/1177-5483 Elias F Jarade,1,2 Ali Dirani,3 Elyse Jabbour,3 Joelle Antoun,3 Karim F Tomey11Beirut Eye Specialist Hospital, Beirut, Lebanon; 2Mediclinic Dubai Mall, Dubai, United Arab Emirates; 3Hotel Dieu de France Hospital, Saint Joseph University, Beirut, LebanonPurpose: Malignant glaucoma, or aqueous misdirection syndrome, is a condition characterized by sudden intraocular pressure (IOP) elevation, and it is usually unilateral and induced by ocular surgical intervention or by medical therapy. Here, we report a case of simultaneous bilateral malignant glaucoma in a young patient with no history of any ocular diseases.Case report: A case of a 24-year-old female with no apparent previous history of ocular medical or surgical conditions was referred to our hospital because of recent bilateral IOP elevation associated with a severe drop in vision and shallow anterior chamber with no posterior segment anomalies detected by ocular ultrasound in both eyes. Yttrium aluminum garnet (YAG) laser iridotomy dropped the IOP only temporarily and the patient received topical atropine treatment with combined trabeculectomy and anterior vitrectomy.Results: In this case, the patient had a typical presentation of bilateral malignant glaucoma and her IOP dropped only temporarily following laser iridotomy to rise again shortly thereafter. Also, deepening of the anterior chamber and IOP decrease after topical atropine was very supportive of the diagnosis of malignant glaucoma. Successful management with trabeculectomy and limited vitrectomy also affirmed the diagnosis of malignant glaucoma.Conclusion: This is a very rare case of bilateral malignant glaucoma in a young adult without any prior eye conditions; only one similar case has been reported in the literature. We propose our own theory regarding this simultaneous occurrence of the pathology based on previously published studies about the presence of communication between the two eyes along the cerebrospinal fluid pathways.Keywords: intraocular pressure, iridotomy, malignant glaucoma, young adultJarade EFDirani AJabbour EAntoun JTomey KFDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1047-1050 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Jarade EF Dirani A Jabbour E Antoun J Tomey KF Spontaneous simultaneous bilateral malignant glaucoma of a patient with no antecedent history of medical or surgical eye diseases
description	Elias F Jarade,1,2 Ali Dirani,3 Elyse Jabbour,3 Joelle Antoun,3 Karim F Tomey11Beirut Eye Specialist Hospital, Beirut, Lebanon; 2Mediclinic Dubai Mall, Dubai, United Arab Emirates; 3Hotel Dieu de France Hospital, Saint Joseph University, Beirut, LebanonPurpose: Malignant glaucoma, or aqueous misdirection syndrome, is a condition characterized by sudden intraocular pressure (IOP) elevation, and it is usually unilateral and induced by ocular surgical intervention or by medical therapy. Here, we report a case of simultaneous bilateral malignant glaucoma in a young patient with no history of any ocular diseases.Case report: A case of a 24-year-old female with no apparent previous history of ocular medical or surgical conditions was referred to our hospital because of recent bilateral IOP elevation associated with a severe drop in vision and shallow anterior chamber with no posterior segment anomalies detected by ocular ultrasound in both eyes. Yttrium aluminum garnet (YAG) laser iridotomy dropped the IOP only temporarily and the patient received topical atropine treatment with combined trabeculectomy and anterior vitrectomy.Results: In this case, the patient had a typical presentation of bilateral malignant glaucoma and her IOP dropped only temporarily following laser iridotomy to rise again shortly thereafter. Also, deepening of the anterior chamber and IOP decrease after topical atropine was very supportive of the diagnosis of malignant glaucoma. Successful management with trabeculectomy and limited vitrectomy also affirmed the diagnosis of malignant glaucoma.Conclusion: This is a very rare case of bilateral malignant glaucoma in a young adult without any prior eye conditions; only one similar case has been reported in the literature. We propose our own theory regarding this simultaneous occurrence of the pathology based on previously published studies about the presence of communication between the two eyes along the cerebrospinal fluid pathways.Keywords: intraocular pressure, iridotomy, malignant glaucoma, young adult
format	article
author	Jarade EF Dirani A Jabbour E Antoun J Tomey KF
author_facet	Jarade EF Dirani A Jabbour E Antoun J Tomey KF
author_sort	Jarade EF
title	Spontaneous simultaneous bilateral malignant glaucoma of a patient with no antecedent history of medical or surgical eye diseases
title_short	Spontaneous simultaneous bilateral malignant glaucoma of a patient with no antecedent history of medical or surgical eye diseases
title_full	Spontaneous simultaneous bilateral malignant glaucoma of a patient with no antecedent history of medical or surgical eye diseases
title_fullStr	Spontaneous simultaneous bilateral malignant glaucoma of a patient with no antecedent history of medical or surgical eye diseases
title_full_unstemmed	Spontaneous simultaneous bilateral malignant glaucoma of a patient with no antecedent history of medical or surgical eye diseases
title_sort	spontaneous simultaneous bilateral malignant glaucoma of a patient with no antecedent history of medical or surgical eye diseases
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/9540573ca3f34b43a20e869cdd7f63b2
work_keys_str_mv	AT jaradeef spontaneoussimultaneousbilateralmalignantglaucomaofapatientwithnoantecedenthistoryofmedicalorsurgicaleyediseases AT dirania spontaneoussimultaneousbilateralmalignantglaucomaofapatientwithnoantecedenthistoryofmedicalorsurgicaleyediseases AT jabboure spontaneoussimultaneousbilateralmalignantglaucomaofapatientwithnoantecedenthistoryofmedicalorsurgicaleyediseases AT antounj spontaneoussimultaneousbilateralmalignantglaucomaofapatientwithnoantecedenthistoryofmedicalorsurgicaleyediseases AT tomeykf spontaneoussimultaneousbilateralmalignantglaucomaofapatientwithnoantecedenthistoryofmedicalorsurgicaleyediseases
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Spontaneous simultaneous bilateral malignant glaucoma of a patient with no antecedent history of medical or surgical eye diseases

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