Abstract
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 and B-scan echography were normal, and there was -1.5 diopter 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-gauge 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 11mmHg. 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 intraocular pressure.
| Original language | English (US) |
|---|---|
| Journal | Journal of Glaucoma |
| DOIs | |
| State | Accepted/In press - Jan 1 2018 |
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Keywords
- aqueous misdirection
- laser peripheral iridotomy
- malignant glaucoma
- pars plana vitrectomy
ASJC Scopus subject areas
- Ophthalmology
Cite this
Malignant Glaucoma after Laser Peripheral Iridotomy. / Greenfield, Jason A.; Smiddy, William E; Greenfield, David.
In: Journal of Glaucoma, 01.01.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Malignant Glaucoma after Laser Peripheral Iridotomy
AU - Greenfield, Jason A.
AU - Smiddy, William E
AU - Greenfield, David
PY - 2018/1/1
Y1 - 2018/1/1
N2 - 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 and B-scan echography were normal, and there was -1.5 diopter 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-gauge 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 11mmHg. 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 intraocular pressure.
AB - 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 and B-scan echography were normal, and there was -1.5 diopter 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-gauge 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 11mmHg. 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 intraocular pressure.
KW - aqueous misdirection
KW - laser peripheral iridotomy
KW - malignant glaucoma
KW - pars plana vitrectomy
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U2 - 10.1097/IJG.0000000000001145
DO - 10.1097/IJG.0000000000001145
M3 - Article
JO - Journal of Glaucoma
JF - Journal of Glaucoma
SN - 1057-0829
ER -