Kaohsiung Journal of Medical Sciences
Volume 24, Issue 11 , Pages 608-613, November 2008

Treatment Course of Recurrent Malignant Glaucoma Monitoring by Ultrasound Biomicroscopy: A Report of Two Cases

  • Chia-Jung Shen

      Affiliations

    • Fooyin University Hospital, Pingtung, Taipei, Taiwan
    • ,
  • Ying-Ying Chen

      Affiliations

    • Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, Taipei, Taiwan
    • School of Medicine, National Yang-Ming University, Taipei, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Ying-Ying Chen, Department of Ophthalmology, Kaohsiung Veterans General Hospital, 386, Ta-Chung 1st Road, Kaohsiung 813, Taiwan
    • ,
  • Shwu-Jiuan Sheu

      Affiliations

    • Department of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, Taipei, Taiwan
    • School of Medicine, National Yang-Ming University, Taipei, Taiwan

Received 11 October 2007; accepted 7 May 2008.

Article Outline

To study the mechanism underlying malignant glaucoma examined by ultrasound biomicroscopy (UBM) combined with axial scan and to observe the course of cilio-lens block in living eyes in real time, when malignant glaucoma occurs and remises, two cases of malignant glaucoma are reviewed. The two cases have common characteristics, such as short axial length, pseudophakia, and patent peripheral iridotomy. Both cases eventually achieved intraocular pressure control without surgical intervention during their management courses. UBM and axial scan were used for early detection, to confirm the diagnosis of these cases, and to observe the course of treatment. This method allows patients at risk for the disease to be identified and successfully treated before irreversible damage to the nerve occurs. These cases accentuate the importance of cycloplegic drugs in long-term malignant glaucoma treatments.

Key Words:  aqueous misdirection syndrome , malignant glaucoma , ultrasound biomicroscopy

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References 

  1. Harbour JW , Rubsamen PE , Palmberg P . Pars plana vitrectomy in the management of phakic and pseudophakic malignant glaucoma . Arch Ophthalmol . 1996;114:1073–1078
  2. Byrnes GA , Leen MM , Wong TP , et al.   Vitrectomy for ciliary block (malignant) glaucoma . Ophthalmology . 1995;102:1308–1311
  3. Tomey KF , Senft SH , Antonios SR , et al.   Aqueous misdirection and flat chamber after posterior chamber implants with and without trabeculectomy . Arch Ophthalmol . 1987;105:770–773
  4. Cashwell LF , Martin TJ . Malignant glaucoma after laser iridotomy . Ophthalmology . 1992;99:651–659
  5. Robinson A , Prialnic M , Deutsch D , et al.   The onset of malignant glaucoma after prophylactic laser iridotomy . Am J Ophthalmol . 1990;110:95–96
  6. Brooks AMV , Harper CA , Gillies WE . Occurrence of malignant glaucoma after laser iridotomy . Br J Ophthalmol . 1989;73:617–620
  7. Arya SK , Kochhar S , Kumar S , et al.   Malignant glaucoma as a complication of Nd:YAG laser posterior capsulotomy . Ophthalmic Surg Lasers Imaging . 2004;35:248–250
  8. Mastropasqua L , Ciancaglini M , Carpineto P , et al.   Aqueous misdirection syndrome: a complication of YAG posterior capsulotomy . J Cataract Refract Surg . 1994;20:563–565
  9. Lynch MG , Brown RH , Michels RG , et al.   Surgical vitrectomy for pseudophakic malignant glaucoma . Am J Ophthalmol . 1986;102:149–153
  10. Hardten DR , Brown JD . Malignant glaucoma after Nd-YAG cyclophotocoagulation . Am J Ophthalmol . 1991;111:245–247 [Letter]
  11. Azuara-Blanco A , Dua HS . Malignant glaucoma after diode laser cyclophotocoagulation . Am J Ophthalmol . 1999;127:467–469
  12. Rieser JC , Schwartz B . Miotic-induced malignant glaucoma . Arch Ophthalmol . 1972;87:706–712
  13. Reed JE , Thomas JV , Lytle RA , et al.   Malignant glaucoma induced by an intraocular lens . Ophthalmic Surg . 1990;21:177–180
  14. Schwartz AL , Anderson DR . Malignant glaucoma in an eye with no antecedent operation or miotics . Arch Ophthalmol . 1975;93:379–381
  15. Wang T , Liu L , Li Z , et al.   Ultrasound biomicroscopic examination of secondary pupillary block glaucoma . Zhonghua Yan Ke Za Zhi . 2000;36:413–415 27.
  16. Liu L , Wang T , Li Z . Studies of mechanism of malignant glaucoma using ultrasound biomicroscope . Zhonghua Yan Ke Za Zhi . 1998;82:10
  17. Trope GE , Pavlin CJ , Bau A , et al.   Malignant glaucoma. Clinical and ultrasound biomicroscopic features . Ophthalmology . 1994;101:1030–1035
  18. Greenfield DS , Tello C , Budenz DL , et al.   Aqueous misdirection after glaucoma drainage device implantation . Ophthalmology . 1999;106:1035–1040

PII: S1607-551X(09)70023-3

doi:10.1016/S1607-551X(09)70023-3

Kaohsiung Journal of Medical Sciences
Volume 24, Issue 11 , Pages 608-613, November 2008

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