Management strategies in malignant glaucoma secondary to antiglaucoma surgery

作     者：Zuo-Hong Wu Yu-Hong Wang Ying Liu 

作者机构：Aier Eye Hospital of Wuhan Wuhan 430063 Hubei Province China Aier Eye Hospital of Changsha Changsha 410015 Hunan Province China Wilmer Eye Institute Johns Hopkins University Baltimore 21231 MD USA 

出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)

年 卷 期：2016年第9卷第1期

页      面：63-68页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：malignant glaucoma pathogenesis medicaltherapy laser therapy surgical interventions 

摘      要：AIM：To assess the outcomes of various interventions for malignant glaucoma（MG）.·M ETHODS：A retrospective,comparative analysis of case series were performed on 38 eyes of 35 MG patients treated in Aier Eye Hospital of Wuhan between Jan.2009and *** treatments were administered including medical therapy,neodymium：yttriumaluminium-garnet（Nd：YAG）laser posterior capsulotomy and hyaloidotomy as well as 3 surgical *** characteristic,treatment option and outcome of MG in every individual patient were reviewed and analyzed among all patients who were followed up for an average of 27.1±9.1mo.·RESULTS：Four eyes of 3 patients achieved complete resolution with medical ***：YAG laser posterior capsulotomy and hyaloidotomy were performed on 2 eyes,both of which achieved resolution after initial ***-two eyes were given surgical treatments with anterior vitrectomy-reformation of anterior chamber in13 eyes,phacoemulsification-intraocular lens implantation in 10 eyes and phacoemulsification-intraocular lens implantation-anterior vitrectomy in 9 *** of MG was seen in almost all *** mean intraocular pressure decreased from 41.87±9.44 mm Hg at presentation to 15.84±3.73 mm Hg at the last *** mean anterior chamber depth improved from 0.28±0.27 mm to 2.28±0.19 *** eyes with preoperative visual acuity better than counting figure/50 cm had various visual *** occurred in 3 eyes of 3 patients including bleeding at the entry site of vitrectomy into vitreous cavity,corneal endothelial decompensation and allergic to atropine respectively.·CONCLUSION：MG occurs as a result of multiple mechanisms involved simultaneously or *** therapy is advocated as the initial treatment,laser therapy is beneficial in pseudophakic eyes,and different surgical regimen is recommended based on different pathogenesis of MG when non-response occurs to nonsurgical *** can be managed successfully by