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Abstract #6127 Published in IGR 2-2
Malignant glaucoma in a case of nanophthalmos
Morizane Y; Nagayama M; Takasu I; Yamaguchi K; Ohtsuki H; Kawardshi YJapanese Journal of Clinical Ophthalmology 2000; 54: 1230-1234
A 24-year-old male presented with chronic closed-angle glaucoma in his right eye associated with nanophthalmos in both eyes. The authors performed phacoemulsification-aspiration, intraocular lens implantation and goniosynechialysis. Pilocarpine instillation the next day induced malignant glaucoma. Atropine instillation induced normalization of the intraocular pressure but the anterior chamber remained shallow due to pupil capture. It appeared that miosis led to cilio-vitreo-lenticular block in the eye implanted with a soft acrylic three-piece lens. His left eye was treated by the same procedure using a polymethylmethacrylate one-piece lens resulting in uneventful outcome. This case illustrates that the proper choice of intraocular lens is advocated when planning cataract surgery in high-risk eyes for malignant glaucoma. LA: Japanese
Dr. Y. Morizane, Department of Ophthalmology, Okayama Univ. School of Medicine, 2-5-1 Shikatacho, Okayarna-shi 700-8558, Japan
Classification:
9.3.10 Other (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
