[Mechanism and treatment of malignant glaucoma].

OBJECTIVE

To investigate the possible mechanism and the treatment of malignant glaucoma.

METHODS

The onsets of 34 eyes in 23 cases of malignant glaucoma were analyzed and the patients were treated with medicine, lens extraction, vitrectomy, anterior chamber plastic operation or combined procedures.

RESULTS

The effective rate in medical treatment was 35.3%. Combined procedures (lens extraction associated with vitrectomy and anterior chamber plastic operation) were all successful.

CONCLUSIONS

The possible mechanism of malignant glaucoma may be concerned with the formation of membranoid substance among vitreous face, ciliary body and posterior iris. Those who failured to medical therapy and were treated with combined operations may have good effect.