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Phacomorphic glaucoma: case and review.

¹Nova Southeastern University, College of Optometry, 3200 South University Drive, Ft. Lauderdale, FL 33328, USA. jsowka@nova.edu

Optometry (St. Louis, Mo.)

|December 13, 2006

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Phacomorphic glaucoma, a lens-induced condition, can cause severe eye pain and high intraocular pressure due to mature cataracts. Prompt medical management followed by lens extraction is crucial for effective treatment.

Area of Science:

Ophthalmology
Glaucoma Studies

Background:

Phacomorphic glaucoma is a secondary angle closure glaucoma.
It arises from mature cataract formation, leading to lens-induced pressure elevation.

Observation:

A patient presented with asymmetric mature cataract, shallow anterior chamber, and elevated intraocular pressure.
Initial medical management with cycloplegia, corticosteroids, and aqueous suppressants controlled pain and pressure.

Findings:

Phacolysis and subsequent pain management failure indicated the need for surgical intervention.
Lens extraction was ultimately required for definitive treatment.

Implications:

This case highlights the importance of recognizing phacomorphic glaucoma in patients with mature cataracts.

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Early diagnosis and appropriate management, including potential lens extraction, are vital for preventing vision loss.