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Calcific phacolysis. Salvageable vision following treatment
1Department of Ophthalmology, New York University Medical Center, NY, USA.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|June 1, 1995
Summary
Calcific phacolysis, a rare condition involving lens calcification, was observed after surgical cataract dislocation. Early intervention may improve vision in affected patients.
Area of Science:
- Ophthalmology
- Pathology
Background:
- Calcific phacolysis is a rare histopathological finding in enucleated eyes with unilateral posttraumatic blindness.
- It involves lens dissolution and calcific material dispersion within the globe.
Observation:
- A case of calcific phacolysis developed 19 months after intraoperative cataract dislocation into the vitreous.
- The patient underwent subtotal vitrectomy, lensectomy, and penetrating keratoplasty for partial removal of calcific particles.
Findings:
- Corneal histopathology revealed calcified lens particles between Descemet's membrane and retrocorneal fibrous membrane.
- Despite diffuse retinal calcification, the patient maintained a visual acuity of 20/400.
Implications:
- This is the first reported case of calcific phacolysis following surgical cataract dislocation.
- Early diagnosis and aggressive treatment may enhance visual prognosis in this condition.