Spontaneous Malignant Glaucoma During Phacotrabeculectomy

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This is the case of an elderly patient with progressive open angle glaucoma. During the trabeculectomy procedure, surgeons Rafael Castañeda Diez, MD, and Lizbeth Ordoñez Verdusco, MD, experience a high IOP and shallow anterior chamber without evident choroidal detachment.

Posted: 3/16/2016

Spontaneous Malignant Glaucoma During Phacotrabeculectomy

This is the case of an elderly patient with progressive open angle glaucoma. During the trabeculectomy procedure, surgeons Rafael Castañeda Diez, MD, and Lizbeth Ordoñez Verdusco, MD, experience a high IOP and shallow anterior chamber without evident choroidal detachment.

Posted: 3/16/2016

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Comments

Mohamed Salih

5 years ago

Thanks fantastic

Rafael Castañeda Diez

8 years ago

Jean Rémi; Thanks very much for the interest and comment.

Rafael Castañeda Diez

8 years ago

I want to leve here to links for a papers that may be of interest: 1- Acute aqueous misdirection syndrome: Pathophysiology and management. Andrzej Grzybowski and Somdutt Prasad. http://dx.doi.org/10.1016/j.jcrs.2014.10.016 2- Acute intraoperative rock-hard eye syndrome and its management, J Cataract Refract Surg. 2014 . Lau, et al. http://dx.doi.org/10.1016/j.jcrs.2013.10.038

Jean Rémi Fénolland

8 years ago

Thx for the video Rafael, I agree with Quentin, it seems to be a rock hard eye syndrome, you can deal with it by a pars plana 25G needle aspiration.

Rafael Castañeda Diez

9 years ago

Quentin d. Maybe a Rock-hard eye syndrome it´s a form of a mild acuos misdirection syndrome. thanks for your comment.

Quentin de Bosredon

9 years ago

Don't you think it could be more likely a rock-hard eye syndrome rather than a malignant glaucoma?