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Abstract #54699 Published in IGR 15-3
Surgical management of malignant glaucoma with white cataract in nanophthalmos
Feng YF; Wang DD; Zhao YE; Li JH; Savini G; Huang JHJournal of Cataract and Refractive Surgery 2013; 39: 1774-1777
We present a 49-year-old woman with nanophthalmos, white cataract, and malignant glaucoma in her left eye. The corrected distance visual acuity (CDVA) in that eye was hand motion, and the intraocular pressure (IOP) fluctuated between 28 mm Hg and 45 mm Hg with antiglaucoma medications. An unsutured sclerectomy combined with zonulectomy, hyaloidectomy, and anterior vitrectomy was performed. At 6 months postoperatively, the IOP was maintained at 12 mm Hg, the anterior chamber was deep, and the Snellen CDVA was 20/80. No intraoperative or postoperative complications were observed. The outcome in this case suggests that sclerectomy combined with phacoemulsification, zonulectomy, hyaloidectomy, and anterior vitrectomy is effective for the management of nanophthalmic patients with white cataract and malignant glaucoma.
From the Affiliated Eye Hospital (Feng, Wang, Zhao, Li, Huang), School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China; the G. B. Bietti Eye Foundation (Savini), Istituto di Ricerca e Cura a Carattere Scientifico, Rome, Italy.
Full articleClassification:
9.4.11.1 Ciliary block (malignant) glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
