Resolution of malignant glaucoma following laser capsulo-hyaloidotomy through the optic hole of intraocular lens

Abstract

We report a case of pseudophakic malignant glaucoma who was managed with laser capsulo-hyaloidotomy through the dialing hole of the optic of the nonfoldable intraocular lens (IOL). Our case presented with sudden, painful decreased vision in the left eye since 15 days, 3 years after cataract surgery. There was a uniformly shallow anterior chamber with a high intraocular pressure (IOP) of 52 mm Hg and glaucomatous disc damage. After performing laser capsulo-hyaloidotomy through the optic hole of the IOL, we noticed deepening of the anterior chamber, improvement in vision, and good IOP control on antiglaucoma medication, thus showing complete resolution of aqueous misdirection and obviating the need for surgical management.

Approach to Chronic Pseudophakic Malignant Glaucoma - A Tug of War

“…Risco., et al and Dave., et al described YAG capsulohyaloidotomy in pseudophakia through the optichaptic junction, PI, and beyond the optic of the IOL to create a single chamber [20,21]. Krishnamurthy R., et al described a unique case where MG was successfully treated using laser hyaloidotomy through the optic hole of the polymethyl methacrylate (PMMA) IOL [22].…”