Repositioning of glaucoma tubes into the pars plana for refractory malignant glaucoma: A case report

被引：3

作者：

Song J. ^{[1
]}

Castellarin A. ^{[1
]}

Song M. ^{[2
]}

Song A. ^{[1
]}

机构：

[1] Long Beach Memorial Medical Center, Long Beach, CA 90806, 2840 Long Beach Blvd.

[2] California Retina Consultants and Research Foundation, Santa Barbara, CA 93103

来源：

Journal of Medical Case Reports | / 7卷 / 1期

关键词：

Ciliary block glaucoma; Malignant glaucoma; Pars plana; Pars plana vitrectomy; Tube;

D O I：

10.1186/1752-1947-7-102

中图分类号：

学科分类号：

摘要：

Introduction. Malignant glaucoma occurs when the intraocular pressure elevates in the setting of a shallow anterior chamber and patent iridectomy. We describe a case in which malignant glaucoma that was refractory to conventional treatment and complete vitrectomy was successfully managed by rerouting the glaucoma tubes into the pars plana. Case presentation. A 47-year-old Latino man had a history of neovascular glaucoma and subsequent peripheral anterior synechiae. He was status post-two glaucoma drainage devices. He developed pupillary block. Laser iridotomy was performed without complications. He subsequently developed malignant glaucoma that was refractory to yttrium aluminum garnet capsulohyaloidotomy of the anterior hyaloid. He underwent pars plana vitrectomy with successful control of his intraocular pressure. After 2 weeks, the malignant glaucoma recurred. He underwent repositioning of the tubes into the pars plana with successful control of his intraocular pressure. Conclusion: In rare cases of malignant glaucoma refractive to yttrium aluminum garnet hyaloidotomy and vitrectomy, placement of glaucoma drainage devices is a reasonable alternative. © 2013 Song et al.; licensee BioMed Central Ltd.

引用

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