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  • Title: Aqueous misdirection syndrome: a complication of neodymium: YAG posterior capsulotomy.
    Author: Mastropasqua L, Ciancaglini M, Carpineto P, Lobefalo L, Gallenga PE.
    Journal: J Cataract Refract Surg; 1994 Sep; 20(5):563-5. PubMed ID: 7996414.
    Abstract:
    A 50-year-old, white, pseudophakic man who had a neodymium:YAG (Nd:YAG) posterior capsulotomy for capsule opacification developed a persistent rise in intraocular pressure (IOP) associated with a flat anterior chamber. Full-thickness patent iridotomy performed with an Nd:YAG laser did not reduce IOP. A-scan ultrasonography showed aqueous pockets in the vitreous, leading to a diagnosis of malignant glaucoma. Medical therapy comprising atropine, phenylephrine, mannitol, and acetazolamide normalized IOP and resolved the clinical findings.
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