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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 408-410

Resolution of malignant glaucoma following laser capsulo-hyaloidotomy through the optic hole of intraocular lens


1 Academy of Eye Education, LV Prasad Eye Institute, Hyderabad, Telangana, India
2 Academy of Eye Education; VST Centre for Glaucoma Care, L V Prasad Eye Institute, Hyderabad, Telangana, India

Correspondence Address:
Rashmi Krishnamurthy
Consultant, VST Centre for Glaucoma Care, L V Prasad Eye Institute V Prasad Marg, Banjara Hills, Hyderabad, Telangana - 500 034
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1324_21

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We report a case of pseudophakic malignant glaucoma who was managed with laser capsulo-hyaloidotomy through the dialing hole of the optic of the nonfoldable intraocular lens (IOL). Our case presented with sudden, painful decreased vision in the left eye since 15 days, 3 years after cataract surgery. There was a uniformly shallow anterior chamber with a high intraocular pressure (IOP) of 52 mm Hg and glaucomatous disc damage. After performing laser capsulo-hyaloidotomy through the optic hole of the IOL, we noticed deepening of the anterior chamber, improvement in vision, and good IOP control on antiglaucoma medication, thus showing complete resolution of aqueous misdirection and obviating the need for surgical management.


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