CLINICAL AND IMAGING FEATURES OF MALIGNANT GLAUCOMA PATIENTS NEEDING SURGICAL TREATMENT

Phạm Thị Thu Hà, Đỗ Tấn

Main Article Content

Abstract

Objectives: To describe the clinical and imaging features of malignant glaucoma patients who needed surgical interventions. Patients and Methods: descriptive cross sectional study. Results: study recruited 53 eyes from 46 patients who finally treated by surgical interventions. Mean age was 59,7 year old, female accounted for 76.1%. 77.4% was diagnosed with PACG before the onset of malignant glaucoma. Majority of cases had been treated with trabeculectomy before the onset of malignant glaucoma (77.4%). Eyes with AL ≤ 22mm accounted for 71.7%. Mean AL was 21.7mm. Flattened and anteriorly rotated ciliary body was observed on UBM in 85% of cases. Conclusion: Malignant glaucoma tended to appear in old, female patients, who had been previously diagnosed with PACG, short AL and treated with trabeculectomy.  

Article Details

References

1. Spaeth GL and A. S, Comparison of the configuration of the human anterior chamber angle, as determined by the Spaeth gonioscopic grading system and ultrasound biomicroscopy. Trans Am Acad Ophthalmol Soc., 1995. 93: p. 337-347.
2. Trope GE. Malignant glaucoma: clinical and ultrasound biomicroscopic features. Ophthalmology, 1994. 101(6): p. 1030-1035.
3. Razeghinejad MR, Amini H, Esfandiari H. (2005). Lesser anterior chamber dimensions in women may be a predisposing factor for malignant glaucoma. Medical Hypotheses; 64:572-574.
4. Prata TS and Dorairaj. S. Is preoperative ciliary body and iris anatomical configuration a predictor of malignant glaucoma development? Clin Experiment Ophthalmol, 2013. 41(6): p. 541-545.
5. Epstein DL and Hashimoto JM. Experimental perfusions through the anterior and vitreous chambers with possible relationships to malignant glaucoma. Am J Ophthalmology, 1979. 88: p. 1078-1086.
6. J C Tsai et al (1997). Surgical results in malignant glaucoma refractory to medical or laser therapy. Eye. 02/1997; 11 (Pt 5)(5):677-81.
7. Harbour JW., Rubsamen PE, Palmberg P. (1996). Pars plana vitrectomy in the management of phakic and pseudophakic malignant glaucoma. Arch Ophthalmol; 114:1073-1078.
8. Zhou et al (2012). Clinical Analysis of 50 Chinese Patients with Aqueous Misdirection Syndrome: a Retrospective Hospital-based Study.J Int Med Res,40(4):1568-79.