Spontaneous malignant glaucoma in a patient with patent peripheral iridotomy

To 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. A 56-year old Chinese female was diagnosed of primary angle closure glaucoma and had bi...

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Bibliographic Details
Published in:BMC ophthalmology 2012-12, Vol.12 (1), p.64-64, Article 64
Main Authors: Premsenthil, Mallika, Salowi, Mohamad Aziz, Siew, Chong Min, ak Gudom, Intan, Kah, Tan
Format: Article
Language:English
Subjects:
Care and treatment
Case Report
Cataracts
Consent
Diagnosis
Female
Glaucoma
Glaucoma, Angle-Closure - physiopathology
Glaucoma, Angle-Closure - surgery
Health sciences
Humans
Iris - surgery
Laser Therapy
Microscopy, Acoustic
Middle Aged
Ophthalmology
Patient outcomes
Patients
Prognosis
Terminology as Topic
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Summary:To 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. A 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). This 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.
ISSN:1471-2415
1471-2415
DOI:10.1186/1471-2415-12-64