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Case report demonstrates successful resolution of malignant glaucoma in primary angle-closure glaucoma, highlighting vitrectomy when initial laser intervention fails.
A patient with primary angle-closure glaucoma developed malignant glaucoma 2 weeks after combined gonioscopy-assisted transluminal trabeculotomy with phacoemulsification. Initial management with yttrium aluminum garnet laser iridotomy and posterior capsulotomy with hyaloidotomy failed to relieve the condition. Definitive resolution with intraocular pressure control and visual recovery was achieved following irido-zonulo-hyaloidotomy-vitrectomy.
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Maheshwari et al. (2026) studied this question.
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