Malignant glaucoma is seen in –
**Core Concept**
Malignant glaucoma is a rare and severe form of secondary glaucoma characterized by a shallow or flat anterior chamber, increased intraocular pressure, and a patent iridotomy. It is often associated with ciliary body dysfunction and a forward displacement of the lens-iris diaphragm.
**Why the Correct Answer is Right**
Malignant glaucoma typically occurs in the setting of acute angle-closure glaucoma or after laser iridotomy, where a forward displacement of the lens-iris diaphragm prevents the normal flow of aqueous humor. This leads to a shallow anterior chamber, increased intraocular pressure, and a patent iridotomy that fails to alleviate the condition. The underlying pathophysiology involves ciliary body dysfunction, which impairs the normal outflow of aqueous humor.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because malignant glaucoma is not typically associated with an open angle or a normal anterior chamber depth.
**Option B:** This option is incorrect because malignant glaucoma is not a type of uveitis, although it may be associated with inflammation in some cases.
**Option C:** This option is incorrect because malignant glaucoma is not a type of secondary glaucoma caused by pigment dispersion or hyphema.
**Clinical Pearl / High-Yield Fact**
Malignant glaucoma is a medical emergency that requires prompt treatment to prevent vision loss. It is essential to differentiate it from other forms of secondary glaucoma, such as uveitic glaucoma or pigment dispersion glaucoma, to guide appropriate management.
**Correct Answer: C. Malignant glaucoma is seen in secondary glaucoma associated with ciliary body dysfunction.**