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Malignant Glaucoma (Posterior Aqueous Diversion Syndrome)

  • Marshall N. Cyrlin
Chapter

Abstract

Von Graefe1 first used the term malignant glaucoma to describe a devastating and unusual form of glaucoma that occurred following ocular surgery. This sequelae was asso­ciated with increased intraocular pressure (IOP) and flattening or shallowing of the anterior chamber. The word malignant was used to characterize the uniformly grave visual prognosis, but because of its relationship to cancer, many have objected to its use, preferring the term misdirection of aqueous. The current definition has been expanded to include classic malignant glaucoma and nonphakic malignant glaucoma as well as disorders occurring in other clinical situations. Classic malignant glaucoma is usually associated with a specific clinical scenario that occurs after incisional surgery (iridectomy or filtration) for primary angle-closure glaucoma, secondary or chronic angle-closure glaucoma, or at times open-angle glaucoma in phakic patients (Table 37.1). The occurrence of malignant glaucoma after cataract surgery and the persistence of malignant glaucoma following cataract surgery in the classic form have been termed as aphakic malignant glaucoma. The diagnosis nonphakic malignant glaucoma has been suggested for both aphakic and pseudophakic types 2 and may also be applied to the development of malignant glaucoma after combined cataract and filtration surgery. The term malignant-like glaucoma has been proposed for instances with similar clinical presentations but where different underlying pathophysiology may be present.

Keywords

Anterior Chamber Ciliary Body Ciliary Process Ultrasound Biomicroscopy Pupillary Block 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Marshall N. Cyrlin
    • 1
    • 2
    • 3
  1. 1.Oakland University William Beaumont School of MedicineRochesterUSA
  2. 2.Glaucoma Services, William Beaumont Eye InstituteRoyal OakUSA
  3. 3.SouthfieldUSA

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