Therapeutic scale, medical and surgical treatment in the management of malignant glaucoma: case series review

Session Details

Session Title: Glaucoma Management

Session Date/Time: Monday 16/09/2019 | 16:30-18:00

Paper Time: 17:12

Venue: Free Paper Forum: Podium 4

First Author: : E. Cilvetti SPAIN

Co Author(s): :    O. Pujol   M. Castany   J. Rigo   A. Dou   A. Boixadera                 

Abstract Details

Purpose:

To assess the required treatment, this means medical and surgical, to achieve a complete resolution of malignant glaucoma.

Setting:

Hospital Vall d´hebron. Barcelona. Spain

Methods:

This is a retrospective case series analysis of the medical and surgical treatment of the patients who developed malignant glaucoma between 2007 and 2017. We show a case series of 19 eyes with malignant glaucoma in a total of 17 patients All of them had cronic angle closure glaucoma.

Results:

Two patients showed bilateral malignant glaucoma; one patient after two trabeculectomies and the other, after a trabeculectomy with express implant in one eye and with trabeculectomy in the other eye. In one patient malignant glaucoma appreared after suturolysis two weeks after the surgery. Four cases has complete resolution with medical treatment, this means: treatment with mydriatics and maximum hipotensor treatment, with was diminished in same weeks. Seven patients had complete resolutions with medica treatment and capsulo-hyalodectomy with laser yag. 5 patients required vitrectomy with a complete comunication between vitreous cavity and anterior segment through zonulo-capsulectomy-hyaloidectomy-irectomy.

Conclusions:

Posterior vitrectomy with complete comunication between vitreous cavity and anterior segment through zonulectomy-capsulectomy-hyaloidectomy-iridectomy was efective to achieved resolution of malignant glaucoma in all cases.

Financial Disclosure:

None