Hypotonous malignant glaucoma: aqueous misdirection with low intraocular pressure.
Two patients who underwent trabeculectomy and postoperatively manifested axially shallow anterior chamber associated with hypotony but without choroidal effusion are described. The first patient was treated conservatively with topical cycloplegics. The second patient was treated with pars plana anterior vitrectomy. The interventions resulted in deepening of the anterior chamber and posterior rotation of the ciliary body to a natural position as observed by ultrasound biomicroscopy. Intraocular pressure remained low in both cases. These cases demonstrate that hypotony and axial shallowing of the anterior chamber after trabeculectomy can result in a malignant glaucoma-like appearance.
Burgansky-Eliash
Zvia
Z
UPMC Eye Center, Eye and Ear Institute, Department of Ophthalmology, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA.
Ishikawa
Hiroshi
H
Schuman
Joel S
JS
D000328:Adult; D000867:Anterior Chamber / Q000000981:diagnostic imaging; D001082:Aqueous Humor / Q000378:metabolism*; D001285:Atropine / Q000627:therapeutic use; D002924:Ciliary Body; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007429:Intraocular Pressure; D033401:Microscopy, Acoustic; D009184:Mydriatics / Q000627:therapeutic use; D015814:Ocular Hypotension / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D011183:Postoperative Complications; D014130:Trabeculectomy / Q000009:adverse effects*; D014792:Visual Acuity; D014821:Vitrectomy
D009184:Mydriatics; D001285:Atropine