Malignant glaucoma following laser iridotomy.

BACKGROUND

A 69-year-old man presented with malignant glaucoma 10 days after an iridotomy for acute angle-closure glaucoma.

METHODS

The case notes are reviewed, describing his presentation and treatment, including the technique of extracapsular cataract extraction with anterior vitrectomy.

RESULTS

An excellent visual outcome was achieved with no recurrence of the malignant glaucoma.

CONCLUSIONS

This case illustrates the recently established link between laser iridotomy and malignant glaucoma. Miotics and other possible causes are excluded, a surgical option is described and the importance of assessing central anterior chamber depth in cases of angle closure is emphasised.