Phacolytic Glaucoma

Question 1

what is Phacolytic glaucoma ?

Answer 1

Leakage of high molecular weight lens proteins from hyper mature cataract to AC then Macrophage will phagocyted it and cause blockage

Question 2

Symptoms of Phacolytic Glaucoma ?

Answer 2

Sudden onset of:

Severe ocular pain

Redness

Blurred vision

Halos around lights

Headache or nausea (from acute IOP rise)

Question 3

Signs of Phacolytic Glaucoma ?

Answer 3

Very high IOP (often >40 mmHg)

Corneal edema

Deep anterior chamber

White, milky aqueous (proteinaceous material)

Floating macrophages (seen on slit lamp as “flare with particles”)

No synechiae or keratic precipitates

Mature cataract with poor red reflex

Open angle on gonioscopy

Question 4

Treatment of Phacolytic glaucoma ?

Answer 4

1.Initial IOP control
- Topical IOP Lowering Agents
- Diamox
- Hyperosmotic
- Avoid mitotics
2.Get rid of lens
> cataract extraction
3. Post operative care