Ultrasound Biomicroscopy in Pseudophakic Malignant Glaucoma

Celso Tello, Thomas Chi, Gerald Shepps, Jeffrey Liebmann, Robert Ritch

Research output: Contribution to journalArticlepeer-review

83 Scopus citations

Abstract

Background: Malignant glaucoma (ciliary block glaucoma; aqueous misdirection glaucoma) is an incompletely understood, rare and serious complication of intraocular surgery. Methods: A woman with pseudophakic malignant glaucoma underwent successful neodymium:YAG (Nd:YAG) laser photodisruption of the anterior hyaloid face with resolution of the glaucoma. High-resolution ultrasound biomicroscopy was used to image the anterior segment and anterior chamber angle before and after laser surgery. Results: Ultrasound biomicroscopy provided cross-sectional images of the iris, posterior chamber intraocular lens (10L), and ciliary body and their relative positions before and after resolution of the malignant glaucoma. Anterior rotation of the ciliary body and anterior chamber shallowing normalized after rupture of the anterior hyaloid face. Conclusion: High-resolution ultrasound biomicroscopy provided images consistent with accepted concepts of the pathophysiology of this disease and offers great promise for the future elucidation of the anatomic mechanisms underlying various forms of glaucoma.

Original languageEnglish
Pages (from-to)1330-1334
Number of pages5
JournalOphthalmology
Volume100
Issue number9
DOIs
StatePublished - 1993
Externally publishedYes

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