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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.
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Menon et al. (2024) studied this question.
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