Malignant glaucoma: disease course and treatment Review article

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Natalie Papachristoforou
Ismael Alsoubie
Anthony Ueno
Aneta Pyza
Julia Kaczmarek
Natalia Wolińska
Jakub Piórek
Katarzyna Sajak-Hydzik
Ilona Pawlicka
Agnieszka Piskorz
Maciej Kozak
Anna Maria Roszkowska

Abstract

Diagnosis of malignant glaucoma presents a challenge due to subtle symptoms in early stages of the disease, making increased intraocular pressure a pivotal indicator, often accompanied by inflammation and corneal edema. Diagnostic modalities, including ultrasound biomicroscopy and anterior segment optical coherence tomography, play crucial roles in visualizing anatomical changes in the ciliary body and anterior chamber. The classic slit lamp examination, complemented by tonometry, remains a fundamental diagnostic tool. A stepwise therapeutic approach is essential, beginning with pharmacological interventions aimed at intraocular pressure reduction and subsequent restoration of the anterior chamber configuration. The first stage of treatment is pharmacotherapy. Laser therapies, such as iridotomy and Nd:YAG laser treatment, address angle closure. In resistant cases, a surgical approach, such as irydo-zonulo-hialoidotomy may be considered.

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How to Cite
1.
Papachristoforou N, Alsoubie I, Ueno A, Pyza A, Kaczmarek J, Wolińska N, Piórek J, Sajak-Hydzik K, Pawlicka I, Piskorz A, Kozak M, Roszkowska AM. Malignant glaucoma: disease course and treatment. Ophthatherapy [Internet]. 2024Jun.30 [cited 2024Dec.3];11(2):200-5. Available from: https://journalsmededu.pl/index.php/ophthatherapy/article/view/3117
Section
Surgery and laser therapy

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