advertisement
Abstract #6126 Published in IGR 2-2
A case of bilateral malignant glaucoma with plateau iris syndrome
Funahashi K; Katsushima H; Maruyama I; Takeda AFolia Ophthalmologica Japonica / Nihon Ganka Kiyo 2000; 51: 199-202
Malignant glaucoma developed in both eyes of a patient with plateau iris syndrome. The patient, a 49-year-old female, had a previous history of bilateral laser iridotomy for chronic angle closure glaucoma. When plateau iris syndrome was diagnosed, ultrasound biomicroscopy (UBM) showed the closed angle with plateau iris configuration, anterior rotation of ciliary processes, and a narrowed ciliolenticular space in both eyes. Goniosynechialysis was performed on both of the patient's eyes, and pharmacotherapy was prescribed to keep the intraocular pressure at about 20 mmHg. About 14 months later, however, the intraocular pressure increased to 35 mmHg in the right eye and 50 mmHg in the left eye, and UBM showed anteriorly rotated ciliary processes attached to the lens capsules. Malignant glaucoma due to ciliolenticular block was diagnosed and treated by combined anterior vitrectomy, phacoemulsification, intraocular lens implantation, and peripheral iridectomy procedures in both eyes. Shortly thereafter, YAG laser capsulotomy was performed bilaterally. Postoperatively, the anterior chambers deepened and intraocular pressures normalized. The findings on UBM in this case indicate that plateau iris syndrome and some forms of malignant glaucoma and occur in eyes with narrow ciliolenticular spaces. LA: Japanese
Dr. K. Funahashi, Department of Ophthalmology, Sapporo Medical University School of Medicine, S1 W16 Chuo-ku, Sapporo 060-8543, Japan
Classification:
9.3.3 Plateau iris syndrome (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
