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Arch Ophthalmol. 1998;116:808-810.

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

Medical treatment, laser surgery, and vitreous surgery have been useful options to treat aqueous misdirection (malignant glaucoma). Two patients with pseudophakic malignant glaucoma unresponsive to medical treatment underwent pars plana vitrectomy and tube shunt implantation through the pars plana. The outcome was favorable in both patients. The implantation of the tube shunt through pars plana can help prevent recurrence of this condition by avoiding reaccumulation of fluid in the posterior segment of the eye, and can help in long-term control of intraocular pressure (IOP) in these glaucomatous patients.

"Aqueous misdirection" or "malignant glaucoma" is characterized by flattening of the anterior chamber without pupillary block or choroidal effusion or suprachoroidal hemorrhage, usually with an accompanying rise in IOP. To explain the pathogenesis of this condition, Shaffer¹ proposed that aqueous is diverted posteriorly toward the vitreous cavity. Medical treatment,² laser surgery,^3-4 and vitreous surgery^5-9 have all been useful options to treat this . . . [Full Text of this Article]

Report of Cases

Case 1

Case 2

Comment
Corresponding author: L. Jay Katz, MD, Wills Eye Hospital, 900 Walnut St, Philadelphia, PA 19107 (e-mail: ljk22222@aol.com).

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