Spontaneous malignant glaucoma in a patient with patent peripheral iridotomy

BACKGROUND: To report a case of spontaneous malignant glaucoma in an Asian female. To propose the term “positive vitreous pressure glaucoma” to reflect the pathophysiology, treatment and prognosis of the condition. CASE PRESENTATION: A 56-year old Chinese female was diagnosed of primary angle closur...

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Detalles Bibliográficos
Autores principales: Premsenthil, Mallika, Salowi, Mohamad Aziz, Siew, Chong Min, ak Gudom, Intan, Kah, Tan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3554438/
https://www.ncbi.nlm.nih.gov/pubmed/23241197
http://dx.doi.org/10.1186/1471-2415-12-64
Descripción
Sumario:BACKGROUND: To report a case of spontaneous malignant glaucoma in an Asian female. To propose the term “positive vitreous pressure glaucoma” to reflect the pathophysiology, treatment and prognosis of the condition. CASE PRESENTATION: A 56-year old Chinese female was diagnosed of primary angle closure glaucoma and had bilateral laser peripheral iridotomy one year ago. She presented with spontaneous onset of malignant glaucoma involving the left eye. The condition was treated successfully; the final best corrected visual acuity was 0.67 (decimal notation). CONCLUSION: This case highlights that acute angle closure attack can occur in an eye with patent peripheral iridotomy. Early recognition and treatment is essential for good visual prognosis.

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