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Neodymium-YAG vitreous surgery for phakic and pseudophakic malignant glaucoma.

Ciliary block (malignant glaucoma) developed in a phakic eye and a pseudophakic eye with a posterior chamber intraocular lens and an intact posterior capsule. In both cases, neodymium-YAG laser treatment (2 to 3 mJ) to the anterior vitreous relieved the blockage, and the anterior chamber returned to normal depth. When technically possible, the neodymium-YAG laser may be used to treat phakic and pseudophakic malignant glaucoma before resorting to surgical vitrectomy.