Abstract
A 24-year-old male presented with chronic closed-angle glaucoma in his right eye associated with nanophthalmos in both eyes. We performed phacoemulsification-aspiration, intraocular lens implantation and goniosynechialysis. Pilocarpine instillation the next day induced malignant glaucoma. Atropine instillation induced normalization of intraocular pressure but the anterior chamber remained shallow due to pupil capture. It appeared that miosis led to cilio-vitreo-lenticular block in the eye implanted with a soft acrylic 3-piece lens. His left eye was treated by the same procedure using a polymethylmethacrylate one-piece lens resulting in uneventful outcome. This case illustrates that the proper choice of intraocular lens is advocated when planning cataract surgery in high-risk eyes for malignant glaucoma.
| Original language | English |
|---|---|
| Pages (from-to) | 1230-1234 |
| Number of pages | 5 |
| Journal | Japanese Journal of Clinical Ophthalmology |
| Volume | 54 |
| Issue number | 6 |
| Publication status | Published - 2000 |
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ASJC Scopus subject areas
- Ophthalmology
Cite this
Malignant glaucoma in a case of nanophthalmos. / Morizane, Yuki; Nagayama, M.; Takasu, I.; Yamaguchi, K.; Ohtsuki, H.; Kawardshi, Y.
In: Japanese Journal of Clinical Ophthalmology, Vol. 54, No. 6, 2000, p. 1230-1234.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Malignant glaucoma in a case of nanophthalmos
AU - Morizane, Yuki
AU - Nagayama, M.
AU - Takasu, I.
AU - Yamaguchi, K.
AU - Ohtsuki, H.
AU - Kawardshi, Y.
PY - 2000
Y1 - 2000
N2 - A 24-year-old male presented with chronic closed-angle glaucoma in his right eye associated with nanophthalmos in both eyes. We performed phacoemulsification-aspiration, intraocular lens implantation and goniosynechialysis. Pilocarpine instillation the next day induced malignant glaucoma. Atropine instillation induced normalization of intraocular pressure but the anterior chamber remained shallow due to pupil capture. It appeared that miosis led to cilio-vitreo-lenticular block in the eye implanted with a soft acrylic 3-piece lens. His left eye was treated by the same procedure using a polymethylmethacrylate one-piece lens resulting in uneventful outcome. This case illustrates that the proper choice of intraocular lens is advocated when planning cataract surgery in high-risk eyes for malignant glaucoma.
AB - A 24-year-old male presented with chronic closed-angle glaucoma in his right eye associated with nanophthalmos in both eyes. We performed phacoemulsification-aspiration, intraocular lens implantation and goniosynechialysis. Pilocarpine instillation the next day induced malignant glaucoma. Atropine instillation induced normalization of intraocular pressure but the anterior chamber remained shallow due to pupil capture. It appeared that miosis led to cilio-vitreo-lenticular block in the eye implanted with a soft acrylic 3-piece lens. His left eye was treated by the same procedure using a polymethylmethacrylate one-piece lens resulting in uneventful outcome. This case illustrates that the proper choice of intraocular lens is advocated when planning cataract surgery in high-risk eyes for malignant glaucoma.
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UR - http://www.scopus.com/inward/citedby.url?scp=0033910184&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:0033910184
VL - 54
SP - 1230
EP - 1234
JO - Japanese Journal of Clinical Ophthalmology
JF - Japanese Journal of Clinical Ophthalmology
SN - 0370-5579
IS - 6
ER -