Malignant glaucoma in a case of nanophthalmos

Yuki Morizane, M. Nagayama, I. Takasu, K. Yamaguchi, H. Ohtsuki, Y. Kawardshi

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)1230-1234
Number of pages5
JournalJapanese Journal of Clinical Ophthalmology
Volume54
Issue number6
Publication statusPublished - 2000

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Glaucoma
Lenses
Miosis
Angle Closure Glaucoma
Intraocular Lens Implantation
Pilocarpine
Phacoemulsification
Intraocular Lenses
Anterior Chamber
Polymethyl Methacrylate
Pupil
Intraocular Pressure
Atropine
Cataract

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Morizane, Y., Nagayama, M., Takasu, I., Yamaguchi, K., Ohtsuki, H., & Kawardshi, Y. (2000). Malignant glaucoma in a case of nanophthalmos. Japanese Journal of Clinical Ophthalmology, 54(6), 1230-1234.

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 journalArticle

Morizane, Y, Nagayama, M, Takasu, I, Yamaguchi, K, Ohtsuki, H & Kawardshi, Y 2000, 'Malignant glaucoma in a case of nanophthalmos', Japanese Journal of Clinical Ophthalmology, vol. 54, no. 6, pp. 1230-1234.
Morizane Y, Nagayama M, Takasu I, Yamaguchi K, Ohtsuki H, Kawardshi Y. Malignant glaucoma in a case of nanophthalmos. Japanese Journal of Clinical Ophthalmology. 2000;54(6):1230-1234.
Morizane, Yuki ; Nagayama, M. ; Takasu, I. ; Yamaguchi, K. ; Ohtsuki, H. ; Kawardshi, Y. / Malignant glaucoma in a case of nanophthalmos. In: Japanese Journal of Clinical Ophthalmology. 2000 ; Vol. 54, No. 6. pp. 1230-1234.
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