EC Ophthalmology

Case Report Volume 15 Issue 3 - 2024

Ocular Trauma Induced Malignant Glaucoma: A Case Report

Anuradha Raj1*, Pratibha Sahu2 and Vandana Sharma3

1Additional Professor, Department of Ophthalmology, All India Institute of Medical Sciences, Bathinda, Punjab, India
2Junior Resident, Department of Ophthalmology, All India Institute of Medical Sciences, Bathinda, Punjab, India
3Assistant Professor, Department of Ophthalmology, All India Institute of Medical Sciences, Bathinda, Punjab, India

*Corresponding Author: Anuradha Raj, Additional Professor, Department of Ophthalmology, All India Institute of Medical Sciences, Bathinda, Punjab, India.
Received: December 01, 2023; Published: February 23, 2024




Malignant glaucoma is characterized by increased intraocular pressure (IOP) and shallowing of the central anterior chamber (AC) in association with the normal posterior segment. It occurs specifically after filtration surgery, peripheral iridotomy, iridectomy or cataract surgery. Alterations in the anatomy of the lens, ciliary body and anterior hyaloid push the iris-lens diaphragm forward impeding the anterior flow of aqueous humor leading to increased IOP. To the best of our knowledge, malignant glaucoma has been reported after blunt trauma only once in the literature. We, therefore report a rare case of malignant glaucoma secondary to blunt trauma which was managed successfully with vitreous aspiration and air injection in AC.

 Keywords: Malignant Glaucoma; Vitreous Aspiration; Anterior Chamber; Intraocular Pressure

  1. Wilde C., et al. “Spontaneous onset pseudophakic malignant glaucoma secondary to zonular weakness and cilio-lenticular block”. Oman Journal of Ophthalmology 2 (2018): 178-180.
  2. Moinul P., et al. “Aqueous misdirection syndrome: an interesting case presentation”. Clinical Ophthalmology 9 (2015): 183-186.
  3. Dave P., et al. “Treatment outcomes in malignant glaucoma”. Ophthalmology5 (2013): 984-990.
  4. Chew RP., et al. “Successful management of malignant glaucoma with irido-zonulo-hyaloidotomy and complete pars plana vitrectomy”. Cureus1 (2022): e21679.
  5. Grzybowski A., et al. “Acute and chronic fluid misdirection syndrome: pathophysiology and treatment”. Graefe's Archive for Clinical and Experimental Ophthalmology 1 (2018): 135-154.
  6. Theelen T., et al. “Malignes Glaukom nach stumpfem Bulbustrauma [Malignant glaucoma following blunt trauma of the eye]”. Ophthalmology 102 (2005): 77-81.
  7. Chandler PA., et al. “Mydriatic-cycloplegic treatment in malignant glaucoma”. Archives of Ophthalmology (1962): 353-359.
  8. Debrouwere V., et al. “Outcomes of different management options for malignant glaucoma: a retrospective study”. Graefe's Archive for Clinical and Experimental Ophthalmology 1 (2012): 131-141.
  9. Stumpf TH., et al. “Transscleral cyclo-diode laser photocoagulation in the treatment of aqueous misdirection syndrome”. Ophthalmology11 (2008): 2058-2061.
  10. Quigley HA., et al. “Possible mechanisms of primary angle closure and malignant glaucoma”. Journal of Glaucoma 2 (2003): 167-180.

Anuradha Raj., et al. "Ocular Trauma Induced Malignant Glaucoma: A Case Report." EC Ophthalmology 15.3 (2024): 01-05.

ECronicon Journal

Our Services

Quick Links

Information

Creative Commons LicenseOpen Access by ECronicon is licensed under a Creative Commons Attribution 4.0 International License
Based on a work at www.ecronicon.net