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(3) 15 Miscellaneous (27)

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Abstract #23607 Published in IGR 11-2

Treatment course of recurrent malignant glaucoma monitoring by ultrasound biomicroscopy: A report of two cases

Shen C-J; Chen Y-Y; Sheu S-J
The Kaohsiung Journal of Medical Sciences 2008; 24: 608-613

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To study the mechanism underlying malignant glaucoma examined by ultrasound biomicroscopy (UBM) combined with axial scan and to observe the course of cilio-lens block in living eyes in real time, when malignant glaucoma occurs and remises, two cases of malignant glaucoma are reviewed. The two cases have common characteristics, such as short axial length, pseudophakia, and patent peripheral iridotomy. Both cases eventually achieved intraocular pressure control without surgical intervention during their management courses. UBM and axial scan were used for early detection, to confirm the diagnosis of these cases, and to observe the course of treatment. This method allows patients at risk for the disease to be identified and successfully treated before irreversible damage to the nerve occurs. These cases accentuate the importance of cycloplegic drugs in long-term malignant glaucoma treatments.

Y.-Y. Chen. Department of Ophthalmology, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Road, Kaohsiung 813, Taiwan. yychen@isca.vghks.gov.tw

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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)
6.12 Ultrasonography and ultrasound biomicroscopy (Part of: 6 Clinical examination methods)

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