Malignant glaucoma in an eye after cataract surgery Hirotaka Hashimoto 1,2 , Makoto Chikuda 2 , Yoshitaka Obara 3 1Tsukuba Hashimoto Opt Clin 2Dept of Ophthalmol, Koshigaya Hosp, Dokkyo Univ Sch of Med 3Dept of Orthoptics and Vis Sci, International Univ of Health and Welfare pp.185-188
Published Date 2008/2/15
DOI https://doi.org/10.11477/mf.1410102136
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Abstract. Purpose:To report a case who developed malignant glaucoma following small-incision cataract surgery. Case:A 78-year-old male received uneventful cataract surgery with intraocular lens implantation. Superior scleral incision cataract surgery was performed on the left eye. The right eye received temporal corneal incision. When seen one month later, the right eye showed flat anterior chamber with low intraocular pressure. The patient reported having forcibly rubbed his right eye. The right eye was treated by laser iridotomy one week later and, another 5 weeks later, by iridectomy and anterior vitrectomy. Flat anterior chamber persisted and had to be treated by laser photoruption of anterior capsule. Permanent cure was obtained with deep anterior chamber. Conclusion:This case illustrates that malignant glaucoma is a liability even after small-incision cataract surgery. Particular attention is needed in cataract surgery in patients of advanced age.

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