Efficacy and safety of a new surgical method to treat malignant glaucoma in pseudophakia

• Published in: Eye (London) Vol. 28; no. 6; pp. 761 - 764
• Main Authors: Żarnowski, T, Wilkos-Kuc, A, Tulidowicz-Bielak, M, Kalinowska, A, Zadrożniak, A, Pyszniak, E, Rękas, M
• Format: Journal Article
• Language: English
• Published: England Nature Publishing Group 01.06.2014
• Subjects: Aged; Aged, 80 and over; Case Series; Female; Filtering Surgery - adverse effects; Filtering Surgery - methods; Glaucoma; Glaucoma - etiology; Glaucoma - physiopathology; Glaucoma - surgery; Humans; Intraocular Pressure - physiology; Iridectomy; Male; Middle Aged; Pseudophakia - complications; Retrospective Studies; Tonometry, Ocular; Treatment Outcome; Visual Acuity - physiology; Vitrectomy
• ISSN: 0950-222X; 1476-5454
• DOI: 10.1038/eye.2014.53

To assess the efficacy and safety of a relatively new surgical method in pseudophakic malignant glaucoma patients. This study is a retrospective, non-comparative, interventional case series. Ten eyes of nine pseudophakic malignant glaucoma patients with mean age of 63.3 years were analysed. All 10 eyes underwent a novel surgical technique, an anterior chamber capsulo-hyaloidectomy and anterior vitrectomy through the peripheral iridectomy. Main outcome measures were: reformation of the anterior chamber, intraocular pressure (IOP), best-corrected visual acuity (BCVA), and complications. All 10 eyes with pseudophakic malignant glaucoma were treated successfully by using a new surgical technique. All cases had a relief of aqueous misdirection with anterior chamber deepening during and after the surgery and post-operative intraocular pressure (IOP) normalization. No relapses have been observed so far. There were no complications during surgery and in the post-operative period. The presented surgical technique seems to be safe and effective in all cases of malignant glaucoma in pseudophakia.