Malignant glaucoma presenting with uncontrolled intraocular pressure and myopic refractive surprise after cataract surgery

Xiong, Albert S.; Kim, Dooho B.

doi:10.1002/ccr3.5810

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…Previous studies have reported cases of MG after cataract surgery [8][9][10][11]. Xiong presented that there was shallow ACD, escalating IOP, anterior displacement of the IOL and myopic shift in the typical angle closure case after cataract surgery [12]. Intraoperative reverse pupillary block during FLACS in a patient with phacomorphic angle closure had been reported in the literature in 2014 [13].…”

Section: Discussionmentioning

confidence: 99%

Malignant glaucoma presenting with deep central anterior chamber after laser-assisted cataract surgery: A case report

Hu,

Zhang,

Zhou

et al. 2023

Preprint

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Background Malignant glaucoma is characterized by a shallow of the central and peripheral anterior chambers of the eye, often elevated intraocular pressure, and in a small number of patients, early intraocular pressure may be normal. we describe a patient who developed malignant glaucoma presenting with deep central anterior chamber after laser-assisted cataract surgery. After anterior vitrectomy, the patient's symptoms were controlled. Case presentation: A 59-year-old female patient who was diagnosed as binocular age-related cataract, binocular primary angle-closure glaucoma (advanced in left eye, early in right eye), binocular medullated nerve fiber underwent femtosecond laser-assisted cataract phacoemulsification plus intraocular lens implantation plus goniosynechialysis in our hospital. The operation was successfully completed without special conditions. After surgery, both eyes showed increased intraocular pressure, normal central anterior chamber depth, and varying degrees of myopic drift. Based on the patient's condition and related examinations, the final diagnosis was binocular malignant glaucoma, and the anterior vitrectomy of both eyes was performed successively. After surgery, the intraocular pressure of both eyes returned to normal. Conclusions From this case, what we could learn is that the typical symptoms of malignant glaucoma are missing sometimes, which make diagnosis more difficult and often delayed treatment of patients. Therefore, we should remain highly suspicious of any disease and do not miss a diagnosis in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Malignant glaucoma presenting with deep central anterior chamber after laser-assisted cataract surgery: A case report

Hu,

Zhang,

Zhou

et al. 2023

Preprint

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show abstract

“…In addition to resolving the angle closure, the procedure also restored normal IOP and corrected the patient's myopia. 22 Sarrafpour et al . showed that a 40-year-old woman with developmental delays and a history of self-abuse was found to have malignant glaucoma with an anterior chamber traumatic cataract.…”

Section: Discussionmentioning

confidence: 99%

Management of Malignant Glaucoma

Sadeghi

Momeni

Fakhraie

et al. 2022

Journal of Current Ophthalmology

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Purpose:To compare the outcomes of various invasive and noninvasive approaches to the treatment of malignant glaucoma.Methods:Glaucoma-related keywords were looked up in PubMed and Google Scholar, and related articles up to 2022 were used to put together this review article.Results:Numerous surgical methods and techniques have been introduced in the past few years. This review outlined current knowledge regarding the nonsurgical and surgical management of malignant glaucoma. In this regard, we first briefly outlined the clinical presentation, pathophysiology, and diagnosis of this disorder. Then, the current evidence on the management of malignant glaucoma was reviewed. Finally, we discuss the need for treatment of the other eye and the factors that might affect the outcome of surgical intervention.Conclusions:Fluid misdirection syndrome, or malignant glaucoma, is a severe disorder that can occur spontaneously due to surgical intervention. The pathophysiology of malignant glaucoma is complicated, and numerous theories exist about the underlying mechanisms that may contribute to the disease. Malignant glaucoma can be treated conservatively using medications, laser therapy, or surgery. Laser treatments and medical treatments have been adequate for the treatment of glaucoma, but the effects have generally been short-lived, and surgical treatment has proved to be the most effective. There have been a variety of surgical methods and techniques introduced. Still, none have been studied in a large proportion of patients as a control case to compare effectiveness, outcomes, and recurrence. Pars plana vitrectomy with irido-zonulo-capsulectomy still seems to have the best results.

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Malignant glaucoma presenting with uncontrolled intraocular pressure and myopic refractive surprise after cataract surgery

Cited by 4 publications

References 14 publications

Malignant glaucoma presenting with deep central anterior chamber after laser-assisted cataract surgery: A case report

Malignant glaucoma presenting with deep central anterior chamber after laser-assisted cataract surgery: A case report

Management of Malignant Glaucoma

Malignant glaucoma presenting with uncontrolled intraocular pressure and myopic refractive surprise after cataract surgery

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