Malignant Glaucoma after Laser Peripheral Iridotomy

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3 Scopus citations


Purpose: We describe a patient with primary angle-closure glaucoma who developed malignant glaucoma following laser peripheral iridotomy. Methods: A 58-year-old male presented with peripheral and central anterior chamber shallowing following an uncomplicated Nd: YAG laser peripheral iridotomy. Intraocular pressure (IOP) and B-scan echography were normal, and there was-1.5 Ddiopter asymmetric myopia. Despite treatment with aqueous suppression and cycloplegia for 7 months, the patient developed progressive myopic shift and anterior chamber shallowing. Results: The patient underwent 23-G pars plana vitrectomy and lensectomy using a standard 3-port technique, and sulcus posterior chamber intraocular lens implantation in the left eye. Twelve months postoperatively, the anterior chamber has remained deep, best-corrected visual acuity is 20/15, and the IOP is 11 mm Hg. Conclusions: Malignant glaucoma is a rare complication of laser iridotomy and should be considered in eyes with progressive anterior chamber shallowing and myopia despite normal IOP.

Original languageEnglish (US)
Pages (from-to)E44-E45
JournalJournal of glaucoma
Issue number3
StatePublished - Mar 1 2019


  • aqueous misdirection
  • laser peripheral iridotomy
  • malignant glaucoma
  • pars plana vitrectomy

ASJC Scopus subject areas

  • Ophthalmology


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