Management of Malignant Glaucoma and Cataract Traumatic with Previous Peripheral Iridectomy

1. Diah Ekawati
2. Edi Supiandi
3. Virna Dwi Oktariana

1. Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Purpose: To report a case of malignant glaucoma and cataract traumatic which was successfully treated with posterior sclerotomy.

Methods: Case report. BCVA, applanation tonometry and slit lamp examination were performed at baseline examination and during follow up period. The patient underwent sclerotomy posterior and lens extraction to treat the malignant glaucoma and cataract traumatic.

Result: 59 years old man presented with pain on his right eye. His previous ocular history associated with cornea rupture and cataract traumatic, treatment of asetazolamide administration and discontinuation of cycloplegics and repair of cornea rupture and periphery iridectomy. The BCVA was 1/300, IOP was 41 mmHg, anterior chamber was flat, with patent periphery iridectomy. Ultrasounds B-scan examination revealed slightly opacity in the vitreous. The surgeon performed posterior sclerotomy, phacoemulsification with IOL and anterior chamber reformation in peribulbar anesthesia. Five weeks after surgery the BCVA was 6/30, the IOP 17 mmHg, anterior chamber was formed.

Conclusion: Malignant glaucoma and cataract traumatic was successfully treated with posterior sclerotomy. and cataract extraction