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Vision loss due to uncommon "red eye": A case report
Tang Xu-Yuan1,2, Qi Rui-Nan2, Wu Ze-Yong2
1Department of Ophthalmology, The First Affiliated Hospital, School of Medicine, Zhejiang University, China.
Medicine
|October 18, 2022
Summary
Phacolytic glaucoma, a rare complication of hypermature cataracts, is often misdiagnosed as endophthalmitis. Early diagnosis and treatment are crucial to prevent permanent vision loss from this condition.
Area of Science:
- Ophthalmology
- Glaucoma Studies
- Cataract Research
Background:
- Phacolytic glaucoma is a rare condition resulting from hypermature cataracts.
- It is often misdiagnosed, particularly in rural areas, leading to delayed treatment.
- This condition poses a significant risk of permanent vision impairment.
Observation:
- A 63-year-old woman presented with symptoms mimicking endophthalmitis, including eye redness and decreased vision.
- Examination revealed severe ocular hypertension (65 mmHg), corneal edema, and milky aqueous humor.
- Cytology confirmed lens protein-laden macrophages, and a Morgagnian cataract was identified.
Findings:
- The patient was diagnosed with phacolytic glaucoma after initial misdiagnosis.
- Treatment involved anterior chamber irrigation and extracapsular cataract extraction with intraocular lens implantation.
- Despite intervention, final visual acuity was limited to 6/120 due to secondary optic nerve damage.
Implications:
- Phacolytic glaucoma can be mistaken for endophthalmitis, highlighting the need for increased clinical awareness.
- Public health education on cataracts and timely management are essential to prevent vision loss.
- Improved diagnostic protocols are needed to ensure accurate and prompt treatment of phacolytic glaucoma.
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