el Matri L, Charfi O, Ayed T, Mghaïeth F, Chaâbouni A, Triki M
Institut Hédi Rais d'ophtalmologie de Tunis, Service B.
J Fr Ophtalmol. 2001 Dec;24(10):1081-4.
Malignant glaucoma is a rare and dramatic complication that occurs more frequently after glaucoma filtration surgery for angle closure glaucoma and rarely for open angle glaucoma. We report a case of a highly myopic monocular 38-year-old woman, with a primary open angle glaucoma who developed malignant glaucoma in the first postoperative days of a trabeculectomy. Treatment consisted of extracapsular cataract extraction and vitrectomy, with the removal of the anterior hyaloid and preventive circular buckling. Late postoperative events have been marked by the occurrence of anterior synechiae and residual hypertension. We discuss the pathogenesis of malignant glaucoma, its management and the results of the different therapeutic procedures.
恶性青光眼是一种罕见且严重的并发症，在闭角型青光眼滤过性手术后更常发生，在开角型青光眼中很少见。我们报告一例38岁高度近视单眼女性原发性开角型青光眼患者，在小梁切除术后第一天发生恶性青光眼。治疗包括白内障囊外摘除术和玻璃体切除术，切除前玻璃体膜并预防性环形加压。术后晚期出现了虹膜前粘连和残余高血压。我们讨论了恶性青光眼的发病机制、治疗方法以及不同治疗程序的结果。
