Simultaneous bilateral malignant glaucoma following laser iridotomy.
A case of bilateral malignant glaucoma is described in a 50-year-old white woman 4 weeks after successful bilateral laser iridotomy for angle-closure glaucoma. The malignant glaucoma may have been precipitated by systemic hydrochlorothiazide therapy. The condition was worsened by pilocarpine; however, atropine and cyclopentolate opened the angle and deepened the anterior chamber, resulting in resolution of the malignant glaucoma. The clinician must be alert to the possibility of malignant glaucoma following laser iridotomy for angle-closure glaucoma.
Aminlari
A
A
Department of Ophthalmology, Penn State University, College of Medicine, Hershey 17033.
Sassani
J W
JW
D001285:Atropine / Q000627:therapeutic use; D003519:Cyclopentolate / Q000627:therapeutic use; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000139:chemically induced* / Q000601:surgery*; D006801:Humans; D006852:Hydrochlorothiazide / Q000009:adverse effects; D007429:Intraocular Pressure; D007498:Iris / Q000601:surgery*; D053685:Laser Therapy; D008875:Middle Aged; D010862:Pilocarpine / Q000008:administration & dosage; D011183:Postoperative Complications / Q000139:chemically induced*; D014792:Visual Acuity
D010862:Pilocarpine; D006852:Hydrochlorothiazide; D001285:Atropine; D003519:Cyclopentolate