Journal article
Slit-lamp Pars Plana Needle Hyaloidotomy-Zonulotomy-Iridotomy for the Treatment of Spontaneous Malignant Glaucoma
Journal of glaucoma, Vol.29(5), pp.e31-e32
05/2020
DOI: 10.1097/IJG.0000000000001473
PMID: 32097257
Abstract
An 88-year-old woman with a history of recent complicated pacemaker insertion presented with acute-onset malignant glaucoma recalcitrant to conservative medical therapy. Surgical intervention was discussed; however, given her complex cardiac history and recent postoperative state, the risk of anesthesia-related systemic adverse events was deemed unacceptably high. As such, a slit-lamp procedure was recommended to break the attack of malignant glaucoma. Here within, we report a novel technique of breaking an attack of malignant glaucoma by needling the anterior hyaloid face at the slit lamp. With this technique, a 25-G needle was entered through the pars plana and was advanced through the anterior hyaloid face, zonules, and peripheral iridotomy to create a unicameral eye and successfully break the malignant closure attack.
Details
- Title: Subtitle
- Slit-lamp Pars Plana Needle Hyaloidotomy-Zonulotomy-Iridotomy for the Treatment of Spontaneous Malignant Glaucoma
- Creators
- Merina Thomas - Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, ORErin A Boese - University of Iowa, Ophthalmology and Visual SciencesPhilip Lieu - Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, MIManjool Shah - Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, MI
- Resource Type
- Journal article
- Publication Details
- Journal of glaucoma, Vol.29(5), pp.e31-e32
- DOI
- 10.1097/IJG.0000000000001473
- PMID
- 32097257
- ISSN
- 1057-0829
- eISSN
- 1536-481X
- Language
- English
- Date published
- 05/2020
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984107735102771
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