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Abstract #74589 Published in IGR 19-1

Post laser-assisted in situ keratomileusis keratomycotic malignant glaucoma

Sahay P; Maharana PK; Sharma N; Titiyal JS
British Medical Journal (Clinical Research Edition) Case Reports 2017; 2017:

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We report a case of a 24-year-old male patient with post-laser assisted in situ keratomileusis (LASIK) culture-proven mycotic keratitis who developed pupillary block glaucoma on day 19 of medical management. The case was initially managed with multiple Nd-Yag peripheral iridotomy along with systemic and topical antiglaucoma medications. However, an emergency therapeutic penetrating keratoplasty (TPK) with lens extraction was done in view of persistently raised intraocular pressure (IOP) and seclusio pupillae. On postoperative day 1, IOP was 10 mm Hg with graft clarity 2 plus and deep anterior chamber with no evidence of residual infection or recurrence. Pupillary block glaucoma can occur in cases of post-LASIK mycotic keratitis, which may necessitate emergency TPK.

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Full article

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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)
9.4.11.4 Glaucomas associated with corneal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
12.2 Laser iridotomy (Part of: 12 Surgical treatment)

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