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Abstract #6796 Published in IGR 4-1
A patient with angle-closure glaucoma with iridociliary cysts who developed malignant glaucoma after trabeculectomy
Onishi T; Kiuchi Y; Nakae K; Shiotani Y; Takeyasu I; Sato S; Hamanaka N; Hayashida Y; Soma T; Ishimoto IFolia Ophthalmologica Japonica / Nihon Ganka Kiyo 2001; 52: 812-815
BACKGROUND: The authors treated a patient with angle-closure glaucoma with multiple iridociliary cysts who developed malignant glaucoma after trabeculectomy. CASE REPORT: Multiple iridociliary cysts caused closure of the anterior chamber angle and elevated intraocular pressure (IOP) in the right eye of an 85-year-old male. Because IOP in this eye was not adequately controlled by medical treatment, trabeculectomy was performed. Over the first five postoperative days, the anterior chamber became shallower and IOP gradually increased. Peripheral iridectomy had been effective and no suprachoroidal hemorrhage or choroidal detachment was seen. Malignant glaucoma was suspected and was treated with an intravenous infusion of hyperosmotic agents, topical application of atropine, and laser ablation of the hyaloid membrane and capsule of the lens. The IOP decreased to 20 mmHg and the depth of the anterior chamber returned to normal. CONCLUSIONS: In this patient, iridociliary cysts may have promoted the development of malignant glaucoma. The onset of the malignant glaucoma may be triggered by filtering surgery.
Dr. T. Onishi, Department of Ophthalmology, Sumitomo Hospital, 5-3-20 Nakanoshima, Kita-ku, Osaka 530-0005, Japan
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)
