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Hypotonous malignant glaucoma following glaucoma drainage device implantation

Malignant glaucoma also known as “aqueous misdirection” is a frightening complication post glaucoma surgery. The usual presentation is with high intraocular pressure with flat anterior chamber both centrally and peripherally. The management option includes pharmacotherapy, laser and pars plana vitrectomy(PPV). We describe a case of malignant glaucoma which presented one day after the surgery with low intraocular pressure. The patient was managed by anterior vitrectomy via paracentesis with anterior vitrectomy settings by glaucoma surgeon.