AI Article Synopsis
- Uveitic glaucoma (UG) is a type of glaucoma that's difficult to diagnose and manage, and the case described involves complex symptoms like pupillary block and lens capsule rupture.
- Following initial surgery for cataract extraction, the patient developed a rare condition called aphakic malignant glaucoma, requiring further surgical intervention.
- Ultrasonographic biomicroscopy played a key role in both diagnosing and monitoring the condition, emphasizing the need for prompt and aggressive treatment to maintain vision in challenging UG cases.
Article Abstract
Uveitic glaucoma (UG) is secondary glaucoma, present as a clinical challenge in both diagnosis and management.We report a case of complex UG, which initially presented as pupillary block and rupture of the anterior lens capsule. We performed cataract extraction with preservation of posterior capsule. Then, the case turned to aphakic malignant glaucoma. We performed anterior vitrectomy with posterior capsule resection in this case. After the second operation, the patient had a satisfactory recovery. Specifically, ultrasonographic biomicroscopy was useful during the diagnosis process and follow-up period in this case.UG presenting as pupillary block, rupture of the anterior lens capsule, and aqueous misdirection seldom presents in clinical practice. Earlier and more active surgical intervention may be necessary for effective preservation of visual function in complex cases of UG.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4616600 | PMC |
| http://dx.doi.org/10.1097/MD.0000000000001248 | DOI Listing |
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