Abstract

PURPOSE
The purpose of this paper is to present the case of malignant glaucoma complicated by CRVO occurring after Nd: YAG laser posterior capsulotomy.
MATERIAL AND METHODS
A 75 years old woman with pseudophakia and cardiovascular disease had undergone Nd: YAG laser posterior capsulotomy, the day after capsulotomy IOP increased in that eye up to 50 mmHg. Medical treatment alone appeared to be unsuccessful. IOP remained elevated (50 mmHg) and lack of anterior chamber occurred. In the examination, the eye showed circumcorneal congestion, diffuse corneal edema, uniformly flat anterior chamber with dilated, nonreacting pupil, optic disc edema, retinal hemorrhages, dilated tortuous retinal veins and macular edema. Surgical therapy (pars plana vitrectomy and the anterior chamber reformation with air bubble) was performed in urgent course.
RESULTS
Twenty four hours after surgical intervention anterior chamber remained deep, IOP reduced to 12,2 mmHg, B-scan ultrasonography did not show any aqueous pockets in the vitreous. In the following 10 days, the IOP remained within normal limits with a well-formed anterior chamber. The final best-corrected visual acuity of the eye was 0.3.
CONCLUSIONS
Early recognition of malignant glaucoma and proper treatment is the most important step to save the eye from severe consequences and prevent irreversible vision loss.

Authors

Malukiewicz G, Stafiej J

Institution

Department of Ophthalmology, Ludwik Rydygier Medical College in Bydgoszcz, Nicolaus Copernicus University in Toruń. malukiewicz@wp.pl

Source

Klinika oczna 113:7-9 2011 pg 254-7

MeSH

Aged
Anterior Chamber
Eye Neoplasms
Female
Glaucoma
Humans
Lasers, Solid-State
Lens Capsule, Crystalline
Retinal Vein Occlusion
Tomography, Optical Coherence
Treatment Outcome
Visual Acuity

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22256568