Treatment of Malignant Glaucoma With Contact Transscleral Cyclophotocoagulation

Carassa, Roberto; Bettin, Paolo; Fiori, Marina; Brancato, Rosario

doi:10.1001/archopht.117.5.688

Cited by 30 publications

(19 citation statements)

References 11 publications

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“…14 The coagulative necrosis and shrinkage of the ciliary processes may disrupt the ciliary-hyaloid interface and subsequently allow normal aqueous flow and mechanical posterior rotation of the ciliary body. 10 This effect occurs immediately and CASE REPORTS: TREATMENT OF MALIGNANT GLAUCOMA AFTER PHACOEMULSIFICATION appears to remain stable, with satisfactory IOP reduction. In our case, the subjective refraction improved by 2.875 D, and this correlated with posterior movement of the IOL optic.…”

Section: Discussionmentioning

confidence: 98%

“…[10][11][12] Reports in the literature are not clear about the timing of CTC treatments, and the CTC regimen is not clearly reproducible. Carassa et al 10 outline results of CTC following Nd:YAG laser anterior hyaloidotomy. The laser technique and energy regimen are not fully described, and the authors propose that the patient have Nd:YAG hyaloidotomy before CTC.…”

Section: Discussionmentioning

confidence: 99%

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Malignant glaucoma after phacoemulsification: Treatment with diode laser cyclophotocoagulation

Muqit

Ménage

2007

Journal of Cataract and Refractive Surgery

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Phacoemulsification was performed in an 84-year-old woman with ocular hypertension and narrow drainage angles, previously treated by neodymium:YAG (Nd:YAG) laser peripheral iridotomy. Despite temporal zonular weakness, the surgery was uneventful. An intraocular lens (IOL) was placed and centered in the capsular bag. Two months later, the patient presented with malignant glaucoma. The IOL optic was anteriorly displaced in the capsular bag, and the IOL shift correlated with a -4.0 diopter myopic refractive error. There was no response after medical treatment or Nd:YAG hyaloidotomy. One week later, a single treatment with transscleral diode laser cyclophotocoagulation was performed. The intraocular pressure normalized and the anterior chamber deepened within 48 hours. The patient's condition has remained stable for 3 months with no further treatment; the Snellen visual acuity is 6/9. If medical therapy fails to control malignant glaucoma, cyclodiode laser treatment may be more effective and have fewer risks than current laser and surgical interventions.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Malignant glaucoma after phacoemulsification: Treatment with diode laser cyclophotocoagulation

Muqit

Ménage

2007

Journal of Cataract and Refractive Surgery

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“…Nd:YAG laser capsulohyaloidotomy with disruption of the anterior hyaloid face is often effective in treating malignant glaucoma by establishing a direct communication between the vitreous cavity and anterior chamber [48]. Transscleral cyclodiode laser photocoagulation, argon laser treatment of the ciliary processes or cyclocryotherapy, helps to eliminate an abnormal vitreociliary relationship [49]. Vitrectomy, with or without cataract extraction, along with an additional step of zonulohyaloidectomy, has been described by Tsai et al [50].…”

Section: Retinal Complications Following Glaucoma Surgerymentioning

confidence: 99%

Retina and glaucoma: surgical complications

et al. 2018

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BackgroundThe close structural and microcirculatory co-relation between anterior and posterior segments of eye make them very vulnerable to complications when one of them is affected surgically. With the advent of anti-fibrotic agents in the management of glaucoma, the rates of vitreoretinal complications have become more frequent. Main bodyCommon retinal complications after glaucoma surgeries include choroidal detachment; ocular decompression retinopathy; haemorrhagic choroidal detachment; hypotony maculopathy; malignant glaucoma; vitreous haemorrhage; bleb endophthalmitis; retinal detachment. Similarly, intraocular pressure rise is often noted after scleral buckle; pars plana vitrectomy; intravitreal gas injection; silicone oil injection; intravitreal steroid injection.ConclusionThe article provides some insight into some of the complications after glaucoma and retina surgeries, including the pathogenetic mechanisms behind each complication and available management options.

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“…The successful use of transscleral cyclodiode laser photocoagulation in pseudophakic patients can help eliminate an abnormal vitreociliary relationship by posterior rotation of the ciliary processes secondary to coagulative shrinkage [55, 56]. Often a single session of therapy is sufficient over 1-2 quadrants [56].…”

Section: What Are the Principles Of Management Of Malignant Glaucoma?mentioning

confidence: 99%

Malignant Glaucoma: A Review of the Modern Literature

Shahid

Salmon

2012

Journal of Ophthalmology

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Malignant glaucoma is a rare form of glaucoma that typically follows surgery in patients with primary angle closure and primary angle-closure glaucoma. In this paper, the clinical features, classification, pathogenesis, and principles of management are discussed. Despite a high prevalence of primary angle closure glaucoma in South-East Asia, the vast majority of cases of malignant glaucoma are reported in White populations. This may reflect differing mechanisms of angle closure in White and Asian patients, which somehow reduces the likelihood of an aberrant relationship developing between the lens, ciliary body, anterior hyaloid, and vitreous structures within the eye. Although the exact underlying pathogenic mechanism remains unclear, the prognosis is good with modern medical, laser, and surgical treatment modalities.

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Treatment of Malignant Glaucoma With Contact Transscleral Cyclophotocoagulation

Cited by 30 publications

References 11 publications

Malignant glaucoma after phacoemulsification: Treatment with diode laser cyclophotocoagulation

Malignant glaucoma after phacoemulsification: Treatment with diode laser cyclophotocoagulation

Retina and glaucoma: surgical complications

Malignant Glaucoma: A Review of the Modern Literature

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