title: A case of 25 gauge vitrectomy for malignant glaucoma with microphthalmos.
abstract: We report the first case report of pars plana lensectomy (PPL) and pars plana vitrectomy using a 25 gauge vitrectomy system for microphthalmos.
  
  
  RESULTS
  A 45-year-old woman reported repeated pain in her left eye, despite the use of medications. Ultrasound biomicroscopy revealed a narrow angle and thickened sclera. The lens and the iris showed anterior displacement with a flattening of the ciliary body. The axial length was 15.16 mm in the right eye and 15.04 mm in the left eye. She was diagnosed with a malignant glaucoma with microphthalmos. The patient underwent PPL and pars plana vitrectomy, using a 25 gauge vitrectomy system. The intraocular pressure was well controlled after surgery without medication.
  
  
  CONCLUSIONS
  We considered the PPL and 25 gauge vitrectomy effective in microphthalmos when performed safely.
authors.affiliation: Department of Ophthalmology, Division of Visual Science, Nihon University School of Medicine, Tokyo, Japan.
authors.forename: Masami
authors.initials: M
authors.lastname: Nakajima
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Hara
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Yamazaki
keywords: 25 gauge vitrectomy; aqueous misdirection; malignant glaucoma; microphthalmos; ultrasound biomicroscopy