**10. Summary and conclusions**

The condition continues to be one of the most difficult types of secondary glaucoma to man‐ age. The diagnosis, definition, pathomechanism, and procedure in the case of malignant glaucoma still give rise to controversy. The currently applied treatment has the goal of un‐ burdening the anterior chamber during the early period of the malignant process and to cre‐ ate communication between the anterior chamber and the vitreous. This is the result of the assumption, that in the case of a lack of communication through the iridotomy, recurrence of the malignant process can be expected after vitrectomy. New modifications of surgical procedure may increase operative effectiveness and improve the long-term results of ap‐ plied procedures.
