title: Malignant glaucoma and central retinal vein occlusion after Nd: YAG laser posterior capsulotomy.
abstract: OBJECTIVE
  The purpose of this paper is to present the case of malignant glaucoma complicated by CRVO occurring after Nd: YAG laser posterior capsulotomy.
  
  
  METHODS
  A 75 years old woman with pseudophakia and cardiovascular disease had undergone Nd: YAG laser posterior capsulotomy, the day after capsulotomy IOP increased in that eye up to 50 mmHg. Medical treatment alone appeared to be unsuccessful. IOP remained elevated (50 mmHg) and lack of anterior chamber occurred. In the examination, the eye showed circumcorneal congestion, diffuse corneal edema, uniformly flat anterior chamber with dilated, nonreacting pupil, optic disc edema, retinal hemorrhages, dilated tortuous retinal veins and macular edema. Surgical therapy (pars plana vitrectomy and the anterior chamber reformation with air bubble) was performed in urgent course.
  
  
  RESULTS
  Twenty four hours after surgical intervention anterior chamber remained deep, IOP reduced to 12,2 mmHg, B-scan ultrasonography did not show any aqueous pockets in the vitreous. In the following 10 days, the IOP remained within normal limits with a well-formed anterior chamber. The final best-corrected visual acuity of the eye was 0.3.
  
  
  CONCLUSIONS
  Early recognition of malignant glaucoma and proper treatment is the most important step to save the eye from severe consequences and prevent irreversible vision loss.
authors.affiliation: Department of Ophthalmology, Ludwik Rydygier Medical College in Bydgoszcz, Nicolaus Copernicus University in Toruń. malukiewicz@wp.pl
authors.forename: Grazyna
authors.initials: G
authors.lastname: Malukiewicz
authors.forename: Joanna
authors.initials: J
authors.lastname: Stafiej
mesh_terms: D000368:Aged; D000867:Anterior Chamber / Q000473:pathology / Q000601:surgery*; D005134:Eye Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D005901:Glaucoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use; D007903:Lens Capsule, Crystalline / Q000473:pathology / Q000601:surgery*; D012170:Retinal Vein Occlusion / Q000150:complications / Q000473:pathology / Q000601:surgery*; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014792:Visual Acuity