A case of 25 gauge vitrectomy for malignant glaucoma with microphthalmos

• Main Authors: Nakajima M, Hara Y, Yamazaki Y
• Format: Article
• Language: English
• Published: Dove Medical Press 2013-05-01
• Series: Clinical Ophthalmology
• Online Access: http://www.dovepress.com/a-case-of-25-gauge-vitrectomy-for-malignant-glaucoma-with-microphthalm-a13221

Masami Nakajima, Yusuke Hara, Yoshio Yamazaki Department of Ophthalmology, Division of Visual Science, Nihon University School of Medicine, Tokyo, Japan Abstract: We report the first case report of pars plana lensectomy (PPL) and pars plana vitrectomy using a 25 gauge vitrectomy system for microphthalmos. Results: A 45-year-old woman reported repeated pain in her left eye, despite the use of medications. Ultrasound biomicroscopy revealed a narrow angle and thickened sclera. The lens and the iris showed anterior displacement with a flattening of the ciliary body. The axial length was 15.16 mm in the right eye and 15.04 mm in the left eye. She was diagnosed with a malignant glaucoma with microphthalmos. The patient underwent PPL and pars plana vitrectomy, using a 25 gauge vitrectomy system. The intraocular pressure was well controlled after surgery without medication. Conclusion: We considered the PPL and 25 gauge vitrectomy effective in microphthalmos when performed safely. Keywords: microphthalmos, aqueous misdirection, malignant glaucoma, ultrasound biomicroscopy, 25 gauge vitrectomy