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A refractory malignant glaucoma posttrabeculectomy in vitrectomized eye: A case report and review of the literature


1 Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
2 Department of Ophthalmology, Kaohsiung Medical University Hospital; Department of Ophthalmology, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

Correspondence Address:
Kwou-Yeung Wu,
Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung; Department of Ophthalmology, College of Medicine, Kaohsiung Medical University, Kaohsiung
Taiwan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_8_19

The objective of this study is to report a case of refractory malignant glaucoma post trabeculectomy in vitrectomized eye and review of previous literature in PubMed database. A 63-year-old male encountered malignant glaucoma after trabeculectomy in vitrectomized eye. We had tried vitreous tapping with peripheral iridectomy and vitreous tapping with intracameral injection of room air (Chandler procedure). All of previous procedures were in vain. Finally, the yttrium–aluminum–garnet laser membranectomy with zonulectomy was done. The intraocular pressure is within normal range without any topical glaucoma eye drops during 3-year outpatient department regular follow-up. Complete vitrectomy with a patent tunnel from posterior chamber to anterior chamber (iridectomy-zonulectomy) is the effective procedure to manage of malignant-like glaucoma.


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