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Case Report
Online Published: 15 Apr 2020
 


Challenging Management of Spontaneous Malignant Glaucoma with Combined Surgical Intervention and Therapy - A Rare Case Report

Clara Valentina, Ni Kompyang Rahayu, I Ketut Semara, Cindy Hartono.


Abstract
Introduction
This article aims to report a rare case of spontaneous malignant glaucoma in Asian female and its challenging management by combined surgical interventions and anti-glaucomatous therapy.
Case presentation
A 47 years old Asian female was diagnosed of glaucoma on both eyes since one year before admission and has had uncontrolled history of medication. She had absolute glaucoma on the left eye with visual acuity of no light perception (NLP) and was recently diagnosed with spontaneous malignant glaucoma and immature cataract on the right eye. In this phakic patient, combined surgical methods of phacoemulsification+IOL (Intra Ocular Lens), peripheral iridotomy, full vitrectomy, and posterior capsulotomy was successful in treating malignant glaucoma. Final intraocular pressure (IOP) could be controlled at 14 mmHg and visual acuity (VA) of 6/18.
Conclusion
Multiple prompt and aggressive treatments are keys to prevent permanent blindness. No recurrence was observed within 3 months of follow-up period. No significant complication occurred during intra- and post-operative periods. The prognosis of this condition is good with the currently available treatment modalities.

Key words: Aqueous misdirection, malignant glaucoma, phakic, spontaneous onset, pars plana vitrectomy, peripheral iridectomy


 
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How to Cite this Article
Pubmed Style

Valentina C, Rahayu NK, Semara IK, Hartono C. Challenging Management of Spontaneous Malignant Glaucoma with Combined Surgical Intervention and Therapy - A Rare Case Report. Int J Med Rev Case Rep. 2020; 4(4): 135-138. doi:10.5455/IJMRCR.Spontaneous-Malignant-Glaucoma

Web Style

Valentina C, Rahayu NK, Semara IK, Hartono C. Challenging Management of Spontaneous Malignant Glaucoma with Combined Surgical Intervention and Therapy - A Rare Case Report. https://www.mdpub.net/?mno=92283 [Access: October 13, 2024]. doi:10.5455/IJMRCR.Spontaneous-Malignant-Glaucoma

AMA (American Medical Association) Style

Valentina C, Rahayu NK, Semara IK, Hartono C. Challenging Management of Spontaneous Malignant Glaucoma with Combined Surgical Intervention and Therapy - A Rare Case Report. Int J Med Rev Case Rep. 2020; 4(4): 135-138. doi:10.5455/IJMRCR.Spontaneous-Malignant-Glaucoma


Vancouver/ICMJE Style

Valentina C, Rahayu NK, Semara IK, Hartono C. Challenging Management of Spontaneous Malignant Glaucoma with Combined Surgical Intervention and Therapy - A Rare Case Report. Int J Med Rev Case Rep. (2020), [cited October 13, 2024]; 4(4): 135-138. doi:10.5455/IJMRCR.Spontaneous-Malignant-Glaucoma


Harvard Style

Valentina, C., Rahayu, . N. K., Semara, . I. K. & Hartono, . C. (2020) Challenging Management of Spontaneous Malignant Glaucoma with Combined Surgical Intervention and Therapy - A Rare Case Report. Int J Med Rev Case Rep, 4 (4), 135-138. doi:10.5455/IJMRCR.Spontaneous-Malignant-Glaucoma


Turabian Style

Valentina, Clara, Ni Kompyang Rahayu, I Ketut Semara, and Cindy Hartono. 2020. Challenging Management of Spontaneous Malignant Glaucoma with Combined Surgical Intervention and Therapy - A Rare Case Report. International Journal of Medical Reviews and Case Reports, 4 (4), 135-138. doi:10.5455/IJMRCR.Spontaneous-Malignant-Glaucoma


Chicago Style

Valentina, Clara, Ni Kompyang Rahayu, I Ketut Semara, and Cindy Hartono. "Challenging Management of Spontaneous Malignant Glaucoma with Combined Surgical Intervention and Therapy - A Rare Case Report." International Journal of Medical Reviews and Case Reports 4 (2020), 135-138. doi:10.5455/IJMRCR.Spontaneous-Malignant-Glaucoma


MLA (The Modern Language Association) Style

Valentina, Clara, Ni Kompyang Rahayu, I Ketut Semara, and Cindy Hartono. "Challenging Management of Spontaneous Malignant Glaucoma with Combined Surgical Intervention and Therapy - A Rare Case Report." International Journal of Medical Reviews and Case Reports 4.4 (2020), 135-138. Print. doi:10.5455/IJMRCR.Spontaneous-Malignant-Glaucoma


APA (American Psychological Association) Style

Valentina, C., Rahayu, . N. K., Semara, . I. K. & Hartono, . C. (2020) Challenging Management of Spontaneous Malignant Glaucoma with Combined Surgical Intervention and Therapy - A Rare Case Report. International Journal of Medical Reviews and Case Reports, 4 (4), 135-138. doi:10.5455/IJMRCR.Spontaneous-Malignant-Glaucoma


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