AIM: To investigate the curative effect of malignant glaucoma postoperative glaucoma combined cataract with anterior segment vitrectomy incision.

METHODS: Retrospective analysis. A total of 16 eyes of 14 patients with malignant glaucoma who had a history of cataract phacoemulsification removement +IOL combined with trabeculectomy(Phaco+IOL+Trab)were selected from Jun.2010 to Jun.2015 in our hospital. Due to ineffective conservative treatment, they were performed anterior segment vitrectomy. Through a clear corneal incision, iris retractor exposed 6 o'clock position of artificial crystal complex edge. Anterior and posterior capsular part resection combined with the corresponding parts of the anterior vitreous resection were performed.

RESULTS: All patients were followed up for 12mo, all cases were successful in anterior chamber reconstruction. The mean best corrected visual acuity(BCVA, logMAR)was from 0.2±0.17 in the pre-operative to 0.5±0.29 in the last follow-up(P<0.05). The mean intraocular pressure(IOP)was 42.6±4.23mmHg in the pre-operative to 15.89±4.72mmHg in the last follow-up(P<0.05). Among them, 2 eyes needed a kind of anti-glaucoma drugs, 2 eyes with two kinds of anti-glaucoma drugs, the total success rate was 75%, partial success rate was 25%, the success rate was 100%. The mean anterior chamber depth was 0.62±0.23mm in the pre-operative to 3.49±0.57mm in the last follow-up(P<0.05). After the treatment, ciliary and choroidal detachment occurred in 2 cases were treated with conservative treatment, there were no serious complications such as corneal endothelial dysfunction, intraocular lens deviation, choroidal hemorrhage and retinal detachment in all patients during follow-up.

CONCLUSION: Anterior segment vitrectomy is effective, simple, safe, easy to grasp and has less complications in treated the malignant glaucoma after surgery glaucoma combined with cataract compared with the posterior segment vitrectomy.