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Efficacy and safety of a simple surgical method to treat pseudophakic malignant glaucoma

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Session Details

Session Title: Glaucoma II

Session Date/Time: Monday 15/09/2014 | 08:00-10:30

Paper Time: 10:10

Venue: Boulevard F (Level 1)

First Author: : T.Zarnowski POLAND

Co Author(s): :    A. Wilkos-Kuc   M. Tulidowicz-Bielak   A. Kalinowska   A. Zadrozniak   E. Pyszniak   M. Rekas

Abstract Details


To assess the efficacy and safety of a relatively new surgical method in pseudophakic malignant glaucoma patients.


1. Department of Diagnostics and Microsurgery of Glaucoma, Medical University, Lublin, Poland 2. Department of Ophthalmology, Military Institute of Medicine, Warsaw, Poland


A retrospective, noncomparative, interventional case series. Ten eyes of nine pseudophakic malignant glaucoma patients with mean age of 63,3 years. All ten eyes underwent a novel surgical technique, an anterior chamber capsulo-hyaloidectomy and anterior vitrectomy through the peripheral iridectomy. Main outcome measures were: reformation of the anterior chamber, intraocular pressure (IOP), best corrected visual acuity (BCVA) and complications.


All ten eyes with pseudophakic malignant glaucoma were treated successfully by using a new surgical technique. All cases had a relief of aqueous misdirection with anterior chamber deepening during and after the surgery and intraocular pressure (IOP) normalisation postoperatively. Mean preoperative IOP was 37.7±9.9 mmHg and was reduced to 13.5±2.7 at the end of follow up (χ2ANOVA=31,16; P=0.00002). Mean CDVA (log MAR) improved from 0.99±0.73 to 0.88±0.91 at the end of follow-up (paired Wilcoxon’s test, P=0.363). No relapses have been observed so far. There were no complications during surgery and in the postoperative period.


Presented surgical technique seems to be safe and effective in the management of malignant glaucoma in pseudophakia.

Financial Interest:


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