Repositioning of glaucoma tubes into the pars plana for refractory malignant glaucoma: a case report View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2013-12

AUTHORS

Julia Song, Alessandro Castellarin, Michael Song, Alice Song

ABSTRACT

INTRODUCTION: Malignant glaucoma occurs when the intraocular pressure elevates in the setting of a shallow anterior chamber and patent iridectomy. We describe a case in which malignant glaucoma that was refractory to conventional treatment and complete vitrectomy was successfully managed by rerouting the glaucoma tubes into the pars plana. CASE PRESENTATION: A 47-year-old Latino man had a history of neovascular glaucoma and subsequent peripheral anterior synechiae. He was status post-two glaucoma drainage devices. He developed pupillary block. Laser iridotomy was performed without complications. He subsequently developed malignant glaucoma that was refractory to yttrium aluminum garnet capsulohyaloidotomy of the anterior hyaloid. He underwent pars plana vitrectomy with successful control of his intraocular pressure. After 2 weeks, the malignant glaucoma recurred. He underwent repositioning of the tubes into the pars plana with successful control of his intraocular pressure. CONCLUSION: In rare cases of malignant glaucoma refractive to yttrium aluminum garnet hyaloidotomy and vitrectomy, placement of glaucoma drainage devices is a reasonable alternative. More... »

PAGES

102

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1752-1947-7-102

DOI

http://dx.doi.org/10.1186/1752-1947-7-102

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1039166687

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23577950


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