TY - JOUR
T1 - Malignant Glaucoma after Laser Peripheral Iridotomy
AU - Greenfield, Jason A.
AU - Smiddy, William E.
AU - Greenfield, David S.
N1 - Funding Information:
Received for publication September 29, 2018; accepted November 18, 2018. From the Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Palm Beach Gardens, FL. Supported by P30EY014801 University of Miami core grant; Research to Prevent Blindness Unrestricted grant, New York, NY; an unrestricted grant from Mr and Mrs Thorne B. Donnelley, Chicago, IL, and the Maltz Family Endowment for Glaucoma Research, Cleveland, OH. Disclosure: D.S.G.: C. Consultant: Aerie Pharmaceuticals, Allergan Inc., Alcon Inc., Bausch+Lomb, Eyenovia, Galimedix, Pfizer Inc., Quark Phar-maceuticals, Santen. The remaining authors declare no conflict of interest. Reprints: David S. Greenfield, MD, Bascom Palmer Eye Institute, 7101 Fairway Drive, Palm Beach Gardens, FL, 33418 (e-mail: dgreenfield@med. miami.edu). Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/IJG.0000000000001145
PY - 2019/3/1
Y1 - 2019/3/1
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 (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.
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 (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.
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
C2 - 30822298
AN - SCOPUS:85057583226
VL - 28
SP - E44-E45
JO - Journal of Glaucoma
JF - Journal of Glaucoma
SN - 1057-0829
IS - 3
ER -