A case of 25 gauge vitrectomy for malignant glaucoma with microphthalmos

Abstract

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