Simultaneous bilateral malignant glaucoma following laser iridotomy.
AI Summary
Bilateral malignant glaucoma can occur after laser iridotomy, worsened by pilocarpine but resolved with cycloplegics. Clinicians should be aware of this rare, severe complication.
Abstract
A case of bilateral malignant glaucoma is described in a 50-year-old white woman 4 weeks after successful bilateral laser iridotomy for angle-closure glaucoma. The malignant glaucoma may have been precipitated by systemic hydrochlorothiazide therapy. The condition was worsened by pilocarpine; however, atropine and cyclopentolate opened the angle and deepened the anterior chamber, resulting in resolution of the malignant glaucoma. The clinician must be alert to the possibility of malignant glaucoma following laser iridotomy for angle-closure glaucoma.
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