Efficacy and safety of a new surgical method to treat malignant glaucoma in pseudophakia.

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

METHODS: This study is a retrospective, non-comparative, interventional case series. Ten eyes of nine pseudophakic malignant glaucoma patients with mean age of 63.3 years were analysed. All 10 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.

RESULTS: All 10 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 post-operative intraocular pressure (IOP) normalization. No relapses have been observed so far. There were no complications during surgery and in the post-operative period.

CONCLUSION: The presented surgical technique seems to be safe and effective in all cases of malignant glaucoma in pseudophakia.