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All Journal Medical Journal of Indonesia Damianus Journal of Medicine Cermin Dunia Kedokteran IJRETINA - International Journal of Retina Ophthalmologica Indonesiana Cermin Dunia Kedokteran
Iskandar, Ferdy
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Health Professions Medicine & Pharmacology Public Health

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A case of mixed mechanism glaucoma: diagnostic and management challenges Iskandar, Ferdy; Oktariana, Virna Dwi; Aziza, Yulia
Medical Journal of Indonesia Vol. 34 No. 4 (2025): December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.cr.258092

Abstract

Mixed mechanism glaucoma occurs when secondary causes contribute to glaucoma in an eye with preexisting primary open-angle glaucoma (POAG) or primary angle-closure glaucoma. This study highlights its diagnostic and management challenges. A 63-year-old female presented with blurry vision and right eye pain for 2 months. She had undergone cataract surgery in the right eye 6 months earlier and developed elevated intraocular pressure (IOP) afterward. Her visual acuity in the right eye was hand movements, and IOP was 34 mmHg despite medications. Examination revealed signs of uveitis, leading to a diagnosis of secondary glaucoma. A glaucoma drainage device (GDD) was implanted, successfully controlling IOP. Follow-up revealed POAG signs in the left eye, prompting a revised diagnosis of mixed mechanism glaucoma in the right eye. GDD implantation was effective, but continued monitoring remained essential to maintain the target IOP.
Co-Authors Ali Sungkar Amanda, Lia Angelia, Maria Augiani, Amani Sakinah Aziza, Yulia Casey, Anthea Debby Anggriany, Friska Djatikusumo, Ari Gunardi, Triana Hardianti Herdian, Felicia Sesi Herdian, Felicia Sesih Hutapea, Mario Marbungaran Laksmita, Yulinda Arty Larasati, Fadima Fitri Limardi, Suryadi Lumintang, Agnesstacia Vania Lumita, Ferdinand Inno Oktariana, Virna Dwi Padang, Astrid Fransisca Paramita, Carennia Permanik, Gustiandari Fidhya Pertiwi, Adinda Mulya Priscilia, Florentina Priscilla, Florentina Raymond Surya Sidik, Mohamad Sieman, Andrew John