Published online May 6, 2023. doi: 10.12998/wjcc.v11.i13.3010
Peer-review started: October 7, 2022
First decision: December 26, 2022
Revised: January 22, 2023
Accepted: March 31, 2023
Article in press: March 31, 2023
Published online: May 6, 2023
Processing time: 199 Days and 19.7 Hours
Malignant glaucoma, caused by aqueous misdirection, is a challenging post-surgical complication presented with normal/high intraocular pressure and shallowing of the central and peripheral anterior chambers. Its incidence is about 0.6%-4.0%. It can be secondary to filtering surgeries, laser iridotomy, and cataract surgery. Short axial length and a history of angle closure glaucoma are its main risk factors. Here, we report a bilateral malignant glaucoma with bullous keratopathy in the patient’s left eye.
We present a case of bilateral malignant glaucoma. The cause of malignant glaucoma for each eye of this patient was different. Hence, the management strategy and selection of surgical methods were also different. However, the normal anterior chamber was ultimately maintained, and maximum visual function was preserved. Even though the left eye received multiple surgeries and corneal endothelial decompensation occurred, the formation of a retroendothelial fibrous membrane partially compensated for the function of the corneal endothelium.
The formation of a retroendothelial fibrous membrane partially compensated for the function of the corneal endothelium.
Core Tip: Malignant glaucoma, caused by aqueous misdirection, is a challenging post-surgical complication presented with normal/high intraocular pressure and shallowing of the central and peripheral anterior chambers. Its incidence is about 0.6%-4.0%. It can be secondary to filtering surgeries, laser iridotomy, and cataract surgery. Short axial length and a history of angle closure glaucoma are its main risk factors. Here, we report bilateral malignant glaucoma with bullous keratopathy in the patient’s left eye. Interestingly, the best corrected visual acuity of the left eye improved to 20/70, and bullous keratopathy was relieved after the migration and implant of lens epithelial cells into the corneal endothelium.