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Abstract #56430 Published in IGR 16-1
Efficacy and safety of a new surgical method to treat malignant glaucoma in pseudophakia
Zarnowski T; Wilkos-Kuc A; Tulidowicz-Bielak M; Kalinowska A; Zadrożniak A; Pyszniak E; Rękas MEye 2014; 28: 761-764
PURPOSE: To assess the efficacy and safety of a relatively new surgical method in pseudophakic malignant glaucoma patients. METHODS: This study is a retrospective, non-comparative, interventional case series. Ten eyes of nine pseudophakic malignant glaucoma patients with mean age of 63.3 years were analysed. All 10 eyes underwent a novel surgical technique, an anterior chamber capsulo-hyaloidectomy and anterior vitrectomy through the peripheral iridectomy. Main outcome measures were: reformation of the anterior chamber, intraocular pressure (IOP), best-corrected visual acuity (BCVA), and complications. RESULTS: All 10 eyes with pseudophakic malignant glaucoma were treated successfully by using a new surgical technique. All cases had a relief of aqueous misdirection with anterior chamber deepening during and after the surgery and post-operative intraocular pressure (IOP) normalization. No relapses have been observed so far. There were no complications during surgery and in the post-operative period. CONCLUSION: The presented surgical technique seems to be safe and effective in all cases of malignant glaucoma in pseudophakia.
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Classification:
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)
9.4.11.2 Glaucomas in aphakia and pseudophakia (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
