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Arch Ophthalmol. 1998;116:799-800.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

IN THIS ISSUE of the ARCHIVES, Azuara-Blanco and colleagues¹ describe 2 cases of malignant glaucoma complicated by extensive angle closure with probable peripheral anterior synechiae and markedly elevated intraocular pressure (IOP). Their criteria for the diagnosis of malignant glaucoma are sound: patent peripheral iridotomies, shallow chambers (axial depth), and the absence of ciliary or choroidal effusions. Treatment of malignant glaucoma does not usually require a tube shunt, as extensive synechial angle closure does not always accompany the condition. Their use of a Baerveldt shunt in conjunction with pars plana vitrectomy, although successful, represents an aggressive management option. Other therapies are possible, as discussed below.

Malignant glaucoma, originally described by von Graefe in 1869, refers to a shallow or flat anterior chamber accompanied by elevated IOP, in the presence of a patent peripheral iridectomy, as an unusual complication of ocular surgery.² The term malignant reflected the difficulty in treatment and often . . . [Full Text of this Article]

DIFFERENTIAL DIAGNOSIS


MANAGEMENT

SYNECHIAL ANGLE CLOSURE
Douglas H. Johnson, MD
Rochester, Minn

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ABSTRACT | FULL TEXT