Spontaneous malignant glaucoma in a patient with patent peripheral iridotomy

BMC Ophthalmology

Case Report

Mallika Premsenthil¹  Tan Kah¹  Chong Min Siew²  Intan ak Gudom²  Mohamad Aziz Salowi² 

[1] Department of Ophthalmology, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak (UNIMAS), Jalan Tun Ahmad Zaidi Adruce, Lot 77, Seksyen 22, Kuching Town Land District, 93150, Kuching, Sarawak, Malaysia;Department of Ophthalmology, Sarawak General Hospital, 93150, Kuching, Sarawak, Malaysia;

关键词: Glaucoma;    Anterior Chamber;    Angle Closure;    Laser Peripheral Iridotomy;    Acute Primary Angle Closure;   

DOI  :  10.1186/1471-2415-12-64

 received in 2012-07-11, accepted in 2012-12-12,  发布年份 2012

来源: Springer

【 摘 要 】

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.

【 授权许可】

Unknown   
© Premsenthil et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.