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In their recent article in the ARCHIVES, Harbour et al¹ state that for malignant glaucomas, lensectomy may be considered only for marked corneal edema, for dense cataract, or at times when the anterior chamber will not deepen during vitrectomy in phakic eyes.

However, in eyes with malignant glaucoma, it is difficult to remove the vitreous base completely during vitrectomy without performing lensectomy. In such cases, the risk of cataract is high, as instruments can easily touch the lens. This results in additional intervention for lens removal at a later date.

We suggest lensectomy for most of the cases for which vitrectomy is being performed. The results of the study by Harbour et al would have been much better if the author had not limited the lensectomy indication criteria. We have always performed vitrectomy with lensectomy in eyes with malignant glaucomas to make a complete base vitrectomy and to preserve patients . . . [Full Text of this Article]

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Videoendoscope-Guided Fluorescein-Assisted Vitrectomy for Phakic Malignant Glaucoma
Chen et al.
Arch Ophthalmol 2005;123:1419-1421.
ABSTRACT | FULL TEXT