Malignant glaucoma: A therapeutic challenge

Malignant glaucoma is a rare condition characterized by an acute rise of intraocular pressure rise with a very shallow anterior chamber, generally following anterior segment surgery. The mechanism leading to malignant glaucoma is that in an anatomically predisposed eye, the anterior rotation of the ciliary body induces misdirection of aqueous flow into or behind the vitreous body, increasing vitreous volume, resulting in anterior displacement of the iris–lens diaphragm, axial and peripheral anterior chamber flattening, and secondary angle closure. The aim of this article is to report a case of malignant glaucoma to discuss about the risk factors involved and therapeutic approaches that are useful in managing such cases.