A 76-year-old woman with GCCA was referred for surgical treatment. After an early failed trabeculectomy it was decided to perform a combined procedure of valve implantation and phacoemulsification. Twenty-four hours after surgery the patient showed atalamy with peripheral iridoendothelial contact with an IOP of 40 mmHg. After ruling out other possible causes of atalamy with hypertonia (choroidal detachment, annular ciliochoroidal detachment and pupillary block), a diagnosis of malignant glaucoma was made and the same treatment as in the previous case (capsulotomy and hyaloidotomy through the pupil) was performed. One year after surgery, IOP was 12 mmHg with timolol maleate 0.5% (Timoftol® 0.5%, Merck Sharp & Dohme de España SA, Madrid) every 12 hours.

