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A case of 25 gauge vitrectomy for malignant glaucoma with microphthalmos

Authors Nakajima M, Hara Y, Yamazaki Y

Received 25 February 2013

Accepted for publication 9 April 2013

Published 31 May 2013 Volume 2013:7 Pages 1027—1029

DOI https://doi.org/10.2147/OPTH.S44488

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

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

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