[Malignant glaucoma following combined Ahmed valve implant and phacoemulsification surgery for chronic angle-closure glaucoma].
METHODS
Simultaneous Ahmed valve implant, combined with phacoemulsification cataract surgery, is a useful therapeutic option for patients with chronic angle-closure glaucoma, when conventional filtering surgery fails. This combined approach permits both control of intraocular pressure and early recovery of visual function. We report the results in five patients successfully treated with this combined procedure, two of whom developed early postoperative malignant glaucoma.


CONCLUSIONS
Predisposing anatomic features in patients with chronic angle-closure glaucoma, associated with sudden anterior chamber decompression and increased postoperative inflammation, may facilitate the development of malignant glaucoma following combined glaucoma implant and phacoemulsification surgery.
Martínez-de-la-Casa
J M
JM
Instituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense, Madrid, España. martinezcasa@ya.com
García-Feijoó
J
J
Castillo
A
A
Polo
V
V
Larrosa
J M
JM
Pablo
L
L
García-Sánchez
J
J
D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005260:Female; D005901:Glaucoma / Q000209:etiology*; D020327:Glaucoma Drainage Implants / Q000009:adverse effects*; D015812:Glaucoma, Angle-Closure / Q000601:surgery*; D006801:Humans; D008297:Male; D018918:Phacoemulsification / Q000009:adverse effects*