The complication of relentless, elevated ocular tension associated with flat chamber following surgery for glaucoma was first described by von Graefe in 1869.1 More recently, Chandler2 has further defined this condition as a "form of postoperative glaucoma in which, after any anterior chamber operation for glaucoma, the anterior chamber remains or shortly becomes flat and the tension rises." Chandler also emphasizes the important role which the forward displacement of the lens-iris diaphragm plays in blocking the communication between the anterior and posterior chamber, thus sealing off any effective outflow channel.Further characteristics of this condition include the propensity of the other eye to follow a similar course when subjected to an anterior chamber glaucoma operation. Birge in his review3 discusses the bilaterality of this condition, and in the recent literature, Cross4 and Posner5 have case reports which illustrate cases of bilateral malignant glaucoma successfully
HOSHIWARA I. Bilateral Malignant Glaucoma: Case Report of Simultaneous Malignant Glaucoma Occurring Three Years After Glaucoma Surgery. Arch Ophthalmol. 1964;72(5):601–603. doi:10.1001/archopht.1964.00970020601004
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