Meena G Menon*, Shruthi P Subramanian and Shalini

Department of Ophthalmology, Sankara Eye Hospital, Bangalore, Karnataka, India

*Corresponding Author: Meena G Menon, Department of Ophthalmology, Sankara Eye Hospital, Bangalore, Karnataka, India.

Received: December 01, 2023; Published: December 14, 2023

Abstract

Purpose: To report various approaches in the management of chronic pseudophakic malignant glaucoma

Case Presentation: We report two chronic pseudophakic malignant glaucoma cases presented to our hospital several years after uncomplicated cataract surgery. Iridozonulohyaloidovitrectomy and Nd yag hyaloidotomy through patent PI was done in case 1 and 2 respectively, which resulted in a deepening of the anterior chamber, improvement in vision, and good intraocular pressure control on antiglaucoma medications.

Conclusion: Iridozonulohyaloidovitrectomy appears to be an alternative option to pars plana vitrectomy in the treatment of patients with chronic pseudophakic malignant glaucoma. Nevertheless, a simple non-surgical method like Nd yag hyaloidotomy also leads to complete resolution of the disease process.

Highlights

• Myopic shift is an important sign of chronic malignant glaucoma
• Chronic malignant glaucoma treatment is aimed at creating a unicameral chamber
• Complete resolution of the disease process can be achieved by a simple outpatient laser procedure or an IZHV surgery that an anterior segment surgeon can perform.

Keywords: Malignant Glaucoma; Irido-zonulo-hyaloido-vitrectomy; Nd: Yag Hyaloidotomy

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Citation

Citation: Meena G Menon., et al. “Approach to Chronic Pseudophakic Malignant Glaucoma - A Tug of War".Acta Scientific Ophthalmology 7.1 (2024): 23-27.

Copyright

Copyright: © 2024 Meena G Menon., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.