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Abstract #18277 Published in IGR 3-3
A case of malignant glaucoma following trabeculectomy for open-angle glaucoma secondary to carotid cavernous sinus fistula
Nakamura S; Ohguro H; Funahashi K; Maeda K; Maruyama IJapanese Journal of Clinical Ophthalmology 2001; 55: 1563-1567
A 72-year-old man was diagnosed with bilateral primary open-angle glaucoma. After conventional treatment, he underwent trabeculectomy in his right eye. The operated eye developed malignant glaucoma with a shallow anterior chamber. A bilateral carotid cavernous sinus fistula (CCF) was detected three weeks after surgery. Eventual cure of glaucoma was obtained following intracapsular cataract extraction and anterior vitrectomy to release cilio-vitreo-lenticular block. This case illustrates that malignant glaucoma is a liability following trabeculectomy for open-angle glaucoma secondary to CCF, due to increased episcleral venous pressure and forward shift of the iris-lens diaphragm. LA: Japanese
Dr S. Nakamura, Department of Ophthalmology, Sapporo Medical University, Minami 1-jo Nishi 16-chome Chuo-ku, Sapporo-shi 060-8543, Japan
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)