Phacolytic glaucoma: A nearly forgotten entity. Issue 5 (September 2020)

• Record Type: Journal Article
• Authors: Dhingra, Deepika; Grover, Suman; Kapatia, Gargi; Pandav, Surinder S; Kaushik, Sushmita
• Is Part Of: European journal of ophthalmology. Volume 30:Issue 5(2020)
• Page Start: NP32
• Page End: NP35
• Publication Date: 2020-09
• Subjects: Phacolytic glaucoma -- lens-induced glaucoma -- hypermature cataract -- ultrasound biomicroscopy; Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; 617.7005
• DOI: 10.1177/1120672119841972
• Languages: English
• ISSNs: 1120-6721

Abstract

Purpose: To report a case of phacolytic glaucoma with rupture of anterior lens capsule in a case of hypermature cataract. Methods: Case report and literature review. Results: An 80-year-old woman presented with cloudiness and pain in the left eye for 1 day. The patient had visual acuity limited to perception of light with raised intraocular pressure of 70 mm Hg. Careful slit-lamp evaluation revealed corneal epithelial edema in superior quadrant and a deep and turbid anterior chamber. Ultrasound biomicroscopy confirmed the presence of a deep anterior chamber, a hypermature cataractous nucleus with lax capsular bag, and ruptured anterior lens capsule. The patient underwent extracapsular cataract extraction. Cytological examination of the lenticular fluid revealed the presence of lens protein-laden macrophages. Post-operatively, the patient had best-corrected visual acuity of 6/60 with advanced glaucomatous optic neuropathy. Conclusion: Phacolytic glaucoma can present with a cloudy cornea and a turbid anterior chamber mimicking endophthalmitis. Careful examination and ancillary investigations including ultrasound biomicroscopy was helpful in making an accurate diagnosis.