Abstract
This chapter considers the three main causes of raised IOP and glaucoma that may follow anterior segment surgery: malignant glaucoma, glaucoma after cataract surgery, and glaucoma associated with epithelial downgrowth. Malignant glaucoma is usually a complication of surgery for primary angle closure and manifests with shallowing of the anterior chamber and increased IOP, in the absence of pupillary block or supra-choroidal effusion/hemorrhage. The condition can be treated by disrupting the anterior hyaloid face by laser or vitreous surgery. In patients who have glaucoma after cataract surgery, long-term medical treatment is often effective, but if needed, trabeculectomy with mitomycin C or a drainage implant can result in good long-term IOP control. Epithelial downgrowth into the anterior chamber is rare and has a poor prognosis. The treatment options are discussed, including the insertion of a drainage tube as palliative treatment.
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Salmon, J.F. (2022). Glaucoma Secondary to Anterior Segment Surgery. In: Albert, D.M., Miller, J.W., Azar, D.T., Young, L.H. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-42634-7_185
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