Several mechanisms have been implicated in aphakic glaucoma, including pupillary block glaucoma, malignant glaucoma
, ghost cell glaucoma, vitreous in the anterior chamber, epithelial ingrowth, and protracted inflammation; however, these are not present in a significant number of patients.
Malignant glaucoma, known as ciliary block glaucoma or aqueous misdirection syndrome, was first described by Von Graefe in 1869.
Many ophthalmologists agree that creating a passage by iridectomy, zonulo-hyaloidectomy, and vitrectomy is the most effective treatment for pseudophakic malignant glaucoma. Therefore, our goal was to characterize a simple and safe surgical procedure which limits recurrence of malignant glaucoma.
Conjunctival perforation, sudden hypotony, shallow anterior chamber and malignant glaucoma have been reported after laser suture lysis.
However, suture removal or lysis may cause further complications like conjunctival hole with aqueous leak, sudden hypotony, shallow anterior chamber, malignant glaucoma and inflammation or may be unsuccessful due to thick overlying conjunctiva or blood over sutures.
Differential diagnoses for ocular hypertension OS included goniodysgenesis and aqueous misdirection (or "malignant glaucoma
Postoperative intraocular pressure elevation, macular oedema, choroidal effusion, and malignant glaucoma
develop more frequently in these eyes [1, 4-6].
One surgical and psychological trauma to the patients, short stay at hospital so reduction of cost, avoidance of malignant glaucoma
, avoidance of the second state operation in high risk patients, avoidance of prolonged medications and early restoration of vision.
Trabeculectomy is usually the first choice, however, it is associated with potentially serious complications, such as shallow or flat anterior chamber, malignant glaucoma
, suprachoroidal hemorrhage, and endophthalmitis.
The problem of malignant glaucoma
as a complication of glaucoma surgery appears to be rare enough that large randomized trials have not been conducted yet in order to determine the relationship between its occurrence and various types of treatments or to determine treatment strategy giving the best results in large populations of patients.
Vitrectomy was performed in two eyes due to malignant glaucoma
andinone eyedue to retinaldetachment.
The type of glaucoma originally requiring TLE included neovascular glaucoma (NVG, 8 eyes; 53%), open angle glaucoma (2 eyes; 13%), malignant glaucoma
(2 eyes; 13%), traumatic glaucoma (1 eye), uveitis-associated secondary glaucoma (1 eye), and developmental glaucoma (1 eye).