Abstract
Malignant glaucoma represents a challenging ophthalmic condition with potential for disabling visual morbidity. However, if the condition is diagnosed in a timely fashion and treated appropriately, favorable outcomes may be attained. Malignant glaucoma typically presents intra- or postoperatively with progressive anterior chamber shallowing, progressive myopia, and increased intraocular pressure. The condition results from a cascade of events incited by surgical ocular decompression. Prophylaxis of the condition involves achievement of intraoperative intraocular pressure maintenance. Medical, laser, and surgical therapeutic methods have been described. Medical options involve cycloplegic and aqueous suppression agents. Laser options include YAG laser iridozonulohyaloidotomy and diode laser cyclophotocoagulation. Surgical options include anterior or posterior iridozonulohyaloidotomy and anterior chamber reformation with intraocular lens pushback. Core vitrectomy is not an effective standalone treatment. Surgical therapies offer definitive treatment for this potentially devastating condition.
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References
Von Graefe A. Beitrage zur Pathologie und Therapie des Glaucomas. Albrecht Von Graefes Arch Ophthalmol. 1869;15(1):108–252.
Ruben S, Tsai J, Hitchings R. Malignant glaucoma and its management. Br J Ophthalmol. 1997;81(2):163–7.
Ahmed IK, Gagne S. Consultation section. Cataract surgical problem. J Cataract Refract Surg. 2009;35(8):1474–8.
Quigley HA, Friedman DS, Congdon NG. Possible mechanisms of primary angle-closure and malignant glaucoma. J Glaucoma. 2003;12(2):167–80.
Quigley HA, Broman AT. The number of people with glaucoma worldwide in 2010 and 2020. Br J Ophthalmol. 2006;90:262–7.
Foster PJ, Alsbirk PH, Baasanhu J, et al. Anterior chamber depth in Mongolians. Variation with age, sex and method of measurement. Am J Ophthalmol. 1997;124:40–53.
Trope GE, Pavlin CJ, Bau A, et al. Malignant glaucoma: clinical and ultrasound biomicroscopic features. Ophthalmology. 1994;101:1030–5.
Dave P, Senthil S, Rao HL, Garudadri CS. Treatment outcomes in malignant glaucoma. Ophthalmology. 2013;120(5):984–90. doi:10.1016/j.ophtha.2012.10.024.
Varma DK, Belovay GW, Tam DY, Ahmed IK. Malignant glaucoma after cataract surgery. J Cataract Refract Surg. 2014;40(11):1843–9. doi:10.1016/j.jcrs.2014.02.045.
Ching-Costa A, Chen TC. Malignant glaucoma. Int Ophthalmol Clin. 2000;40(1):117–27.
Lynch MG, Brown RH, Michels RG, et al. Surgical vitrectomy for pseudophakic malignant glaucoma. Am J Ophthalmol. 1986;102(2):149–53.
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Devesh K Varma and Iqbal Ike K Ahmed declare that they have no conflict of interest. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study. No animal studies were carried out by the authors for this article.
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Varma, D.K., Ahmed, I.I.K. (2015). Surgical Management of Malignant Glaucoma. In: Aref, A., Varma, R. (eds) Advanced Glaucoma Surgery. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-18060-1_15
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DOI: https://doi.org/10.1007/978-3-319-18060-1_15
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