Case report demonstrates successful resolution of malignant glaucoma in primary angle-closure glaucoma, highlighting vitrectomy when initial laser intervention fails.
Key Points
Describe the clinical presentation and definitive surgical management of malignant glaucoma following combined gonioscopy-assisted transluminal trabeculotomy and phacoemulsification.
Evaluated a single patient with primary angle-closure glaucoma who developed malignant glaucoma two weeks after combined surgery.
Attempted initial intervention using Nd:YAG laser iridotomy and posterior capsulotomy with hyaloidotomy, followed by surgical irido-zonulo-hyaloidotomy-vitrectomy.
Initial laser treatment via iridotomy, posterior capsulotomy, and hyaloidotomy failed to alleviate malignant glaucoma.
Irido-zonulo-hyaloidotomy-vitrectomy successfully achieved definitive resolution, restoring intraocular pressure control and enabling visual recovery.