Abstract
BackgroundTo report a case of spontaneous malignant glaucoma in an Asian female. To propose the term “positive vitreous pressure glaucoma” to reflect the pathophysiology, treatment and prognosis of the condition.Case presentationA 56-year old Chinese female was diagnosed of primary angle closure glaucoma and had bilateral laser peripheral iridotomy one year ago. She presented with spontaneous onset of malignant glaucoma involving the left eye. The condition was treated successfully; the final best corrected visual acuity was 0.67 (decimal notation).ConclusionThis case highlights that acute angle closure attack can occur in an eye with patent peripheral iridotomy. Early recognition and treatment is essential for good visual prognosis.
Highlights
To report a case of spontaneous malignant glaucoma in an Asian female
Malignant glaucoma is a form of secondary angle closure glaucoma characterized by marked elevation of the intraocular pressure (IOP), shallow anterior chamber despite a patent laser peripheral iridotomy (LPI), and a normal posterior segment anatomy
We report a case of malignant glaucoma that occurred spontaneously in an eye that underwent LPI one year ago
Summary
Malignant glaucoma is a form of secondary angle closure glaucoma characterized by marked elevation of the intraocular pressure (IOP), shallow anterior chamber despite a patent laser peripheral iridotomy (LPI), and a normal posterior segment anatomy. Case presentation A 56-year-old Chinese female with primary angle closure glaucoma, underwent bilateral LPI one year ago. Her eyes were treated with topical timolol 0.5% twice daily and topical latanoprost 0.005% at night. The anterior chamber depth increased (Figure 5) and the IOP came down to 20 mm Hg. Ultrasonographic biomicroscopy on the fifth postoperative day showed backward displacement of the ciliary body and iris with opened drainage angle (Figure 6). Ultrasonographic biomicroscopy on the fifth postoperative day showed backward displacement of the ciliary body and iris with opened drainage angle (Figure 6) She was discharged after a week with topical atropine 1% daily, topical timolol 0.5% twice daily and topical latanoprost 0.005% at night for both eyes. After 6 month, her best corrected visual acuity was 0.67, IOP was 18 mm Hg
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