A Case of Pseudophakic Malignant Glaucoma.

Nam, Ki Sun; Oh, Jin Seok; Lee, Kyung Wha

Case Report

Journal of the Korean Ophthalmological Society 2002;43(1):225-229.
Published online January 1, 2002.

A Case of Pseudophakic Malignant Glaucoma.

Department of Ophthalmology, Hangang Sacred Heart Hospital, The Hallym University Medical College, Korea. kyungwlee@hanmail.net

인공수정체안에서 발생한 악성녹내장 1례

남기선 ( Ki Sun Nam ) , 오진석 ( Jin Seok Oh ) , 이경화 ( Kyung Wha Lee )

Abstract

PURPOSE
Malignant glaucoma is a rare secondary glaucoma characterized by a flat anterior chamber with increased intraocular pressure (IOP). It may occur after intraocular surgery, trauma, inflammation, the use of miotic agents, and so on. We report a case of malignant glaucoma after uncomplicated phacoemulsification with foldable intraocular lens implantation (IOL) using scleral tunnel incision. METHODS: A 74-year-old woman underwent a phacoemulsification with foldable IOL implantation in her left eye. Ten days after cataract surgery, she had severe ocular pain, a high IOP, and a flat anterior chamber. Pupillary block was suspected, and a peripheral iridectomy was done. But she was referred to our hospital for evaluation of persistent IOP elevation with flat anterior chamber. A diagnosis of pseudophakic malignant glaucoma was made, and we performed a core vitrectomy through peripheral iridectomy site. The anterior chamber deepened postoperatively with control of IOP. On the fourth postoperative day, she developed flattening of the anterior chamber with IOP elevation. A recurrence of malignant glaucoma was diagnosed, and anterior vitrecomy with a widening of previous iridectomy wound was done. RESULTS: Postoperatively, the patient had normal IOP, a deep anterior chamber and improved visual acuity. We got successful results from a surgical anterior vitrecomy through peripheral iridectomy site.

Key Words: Anterior vitrectomy;Phacoemulsification with foldable IOL implantation;Pseudophakic malignant glaucoma