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Ophthalmology. 2001 Apr;108(4):780-3.

New surgical approach in the management of pseudophakic malignant glaucoma.

Author information

1
The Vitreo-Retinal Service, Ophthalmology Department, The Royal Liverpool University Hospital, Liverpool, England, United Kingdom. noemilois@aol.com

Abstract

PURPOSE:

To describe a new surgical approach in the management of pseudophakic malignant glaucoma.

DESIGN:

Noncomparative case series.

PARTICIPANTS:

Five consecutive patients with pseudophakic malignant glaucoma.

METHODS:

All patients underwent zonulo-hyaloido-vitrectomy. The procedure involves the performance of zonulectomy, hyaloidectomy, and anterior vitrectomy (zonulo-hyaloido-vitrectomy) through a peripheral iridectomy or iridotomy via the anterior chamber.

MAIN OUTCOME MEASURES:

Medications, visual acuity, intraocular pressure, and anterior and posterior segment findings were recorded before and after surgery.

RESULTS:

Resolution of the malignant glaucoma was achieved in all cases. No recurrences were observed after a median follow-up of 5.5 months (range, 1-9 months). In one patient with extensive anterior synechiae, bleb failure occurred after the resolution of the malignant glaucoma. This patient was treated successfully with a guarded filtration procedure supplemented with 5-fluorouracil. No other complications were observed.

CONCLUSIONS:

Zonulo-hyaloido-vitrectomy via the anterior segment appears to be an alternative option in the treatment of patients with pseudophakic malignant glaucoma.

Comment in

PMID:
11297497
DOI:
10.1016/s0161-6420(00)00642-4
[Indexed for MEDLINE]

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