Spontaneous malignant glaucoma in a patient with patent peripheral iridotomy

[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.

[发布日期] 2012-12-14

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