title: Long-term follow-up of zonulo-hyaloido-vitrectomy for pseudophakic malignant glaucoma.
abstract: OBJECTIVE
  To report long-term follow-up of zonulo-hyaloido-vitrectomy (ZHV) via anterior approach for pseudophakic malignant glaucoma refractory to medical treatment.
  
  
  METHODS
  Noncomparative case-series.
  
  
  METHODS
  Medical records of 9 patients who sought treatment for aqueous humor misdirection refractory to medical treatment were reviewed. All patients underwent anterior vitrectomy, hyaloido-zonulectomy, and peripheral iridectomy (PI) via an anterior approach. Main outcome measures were preoperative and postoperative visual acuity, intraocular pressure, medications, slit-lamp examination, and fundus ﬁndings.
  
  
  RESULTS
  10 eyes of 9 patients (7 female, 2 male) who underwent ZHV for refractory pseudophakic malignant glaucoma between 2003 and 2010 were included in this case-series. The mean age of patients was 77.4 ± 9.0 years, mean follow-up duration 50.2 ± 27.2 months. Recurrence of malignant glaucoma was noted in 40% (four cases) after a successful ZHV on long-term follow-up.
  
  
  CONCLUSIONS
  An anterior segment surgeon can treat malignant glaucoma refractory to medical treatment successfully by vitrectomy, hyaloido-zonulectomy, and PI. This can be done via an anterior approach and patients require long follow-up to rule out a relapse despite a successful outcome in the short term.
authors.affiliation: Department of Ophthalmology, Calderdale and Huddersfield NHS Trust, Huddersfield Royal Infirmary, Huddersfield HD3 3EA, United Kingdom.
authors.forename: Indira M
authors.initials: IM
authors.lastname: Madgula
authors.forename: Nitin
authors.initials: N
authors.lastname: Anand
mesh_terms: D000368:Aged; D000867:Anterior Chamber / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D015812:Glaucoma, Angle-Closure / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D008297:Male; D011184:Postoperative Period; D019591:Pseudophakia / Q000150:complications*; D012189:Retrospective Studies; D013997:Time Factors; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*