| A Case of Malignant Glaucoma in a Vitrectomized Eye. |
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Gi Sung Son, Mi Jeung Kim, Hye Jin Chung, Yun Suk Chung, Jin Young Choi |
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HanGil Eye Hospital, Incheon, Korea. eyecjy@hanmail.net |
| 유리체 절제술을 시행한 안에서 발생한 악성 녹내장 1예 |
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손지성⋅김미정⋅정혜진⋅정윤석⋅최진영 |
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한길안과병원 |
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| Abstract |
PURPOSE
To report a case of malignant glaucoma in an eye vitrectomized 5 years previously due to endophthalmitis. CASE SUMMARY: A 55-year-old male visited clinic due to a painful right eye 2 days in duration. Five years ago, he suffered endophthalmitis in his right eye and underwent pars plana vitrectomy. On slit-lamp examination, shallow anterior chamber depth of 2 central corneal thickness and corneal edema were observed along with remnant cortical lens material behind the intraocular lens. Intraocular pressure was 68 mm Hg measured using applanation tonometry. Maximal medical treatment failed to lower the intraocular pressure on the first day of visit. The very next day, anterior chamber became shallower less than 0.5 central corneal thickness and intraocular pressure was 70 mm Hg. Posterior capsular syndrome was suspected on anterior optical coherence tomography and neodymium:yttrium-aluminum-garnet laser posterior capsulotomy was performed, however, normal anterior chamber could not be restored. Despite continuous medical therapy for 3 weeks, the patient's symptoms worsened and intraocular pressure increased over 99 mm Hg and therefore, the Ahmed glaucoma valve was implanted. One day after the operation, intraocular pressure decreased to 10 mm Hg and anterior chamber depth became deeper with the depth of over 5 central corneal thickness. At the final visit 4 months postoperatively, intraocular pressure and normal anatomy of the anterior segment were well maintained. CONCLUSIONS: Malignant glaucoma syndrome can occur even in vitrectomized eyes and capsular block syndrome can initiate this. Malignant glaucoma syndrome in a vitrectomized eye resistant to maximal medical treatment can be treated with Ahmed valve implantation. |
| Key Words:
Ahmed valve implantation;Capsular block syndrome;Intraocular pressure;Malignant glaucoma syndrome;Vitrectomized eye |
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