Malignant glaucoma following gonioscopy-assisted transluminal trabeculotomy: a case report

BMC Ophthalmology

Elena Bolletta¹  Danilo Iannetta²  Antonio Moramarco²  Luigi Fontana² 

[1] Ocular Immunology Unit, Azienda USL-IRCCS di Reggio Emilia;Ophthalmology Unit, DIMES, Alma Mater Studiorum, University of Bologna and S. Orsola-Malpighi Teaching Hospital;

关键词: Gonioscopy-assisted transluminal trabeculotomy;    Malignant glaucoma;    Glaucoma surgery complication;    Case report;   

DOI  :  10.1186/s12886-022-02276-3

来源: DOAJ

【 摘 要 】

Abstract Background To report a case of malignant glaucoma that developed after gonioscopy-assisted transluminal trabeculotomy (GATT). Case presentation An 85-year-old male pseudophakic patient affected by pseudoexfoliative glaucoma (PEXG), unresponsive to medical glaucoma treatment, underwent uneventful GATT surgery. On the first day after surgery, the eye showed a shallow central and peripheral anterior chamber (AC) with a raised intraocular pressure (IOP) measured at 55 mmHg. Optical coherence tomography and ultrasound biomicroscopy confirmed the diagnosis of malignant glaucoma. Laser iridotomy, posterior capsulotomy and hyaloidotomy were performed, and the patient was treated with atropine sulphate 1%, maximum topical and systemic ocular hypotensive drugs with no improvement in the IOP. Subsequently, the patient underwent pars plana anterior vitrectomy, resulting in deepening of the AC with opening of the iridocorneal angle and decrease of the IOP. No further postoperative complications were recorded, and the IOP remained controlled 12 months after surgery without antiglaucoma medications. Conclusions Despite the minimally invasive profile of GATT, malignant glaucoma may develop after this procedure. Early recognition and prompt treatment are mandatory for preventing permanent visual loss.

【 授权许可】

Unknown