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[Clinical findings in phakolytic glaucoma (author's transl)]
Abstract:
1300 enucleated globes were examined from 1966-1974: Among these 20 eyes (1.5%) revealed a "phacolytic glaucoma" histologically. The clinical diagnosis before enucleation were "secondary glaucoma" or "absolute glaucoma" (19) and once "uveitis dolorosa". "Phakolysis" was considered in only 3 eyes. 15 cases revealed surprisingly well preserved retinal structure - indicating probable good function. The only therapy possible consists of immediate cataract extraction - inspite of high intraocular pressure. Phacolytic glaucoma must be considered in the differential diagnosis of unilateral "acute glaucoma"; also in young patients with traumatic and complicated cataract.