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Arch Ophthalmol. 1999;117:688-691.

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

Five cases of pseudophakic malignant glaucoma were successfully treated with a single session of contact transscleral cyclophotocoagulation (CTCP) with diode laser (twenty 4-J spots over 360°, 1.5 mm posterior to the limbus) after failure of Nd:YAG laser hyaloidotomy and vitreolysis. All patients except for case 2 had a preoperative diagnosis of chronic angle-closure glaucoma. At the end of the follow-up, all the eyes had a well-controlled intraocular pressure (IOP), with no medications required in 3 cases and topical -blocker prescibed in 2. No major side effects of laser treatment were observed.

Malignant glaucoma is a severe complication of anterior segment surgery mainly associated with eyes with angle-closure glaucoma. The term "malignant glaucoma" refers to a condition characterized by ocular hypertension with shallow or flat anterior chamber despite a patent iridotomy and a normal posterior segment anatomy. The condition is typically unresponsive to treatment with miotics, but it can be relieved . . . [Full Text of this Article]

Report of Cases.

Case 1.

Case 2.

Case 3.

Case 4.

Case 5.

Comment.
Reprints: Roberto G. Carassa, MD, Department of Ophthalmology and Visual Sciences, University of Milano, H. S. Raffaele via Olgettina 60, 20132 Milano, Italy (e-mail: carassa@tin.it).

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