DR. CHARU SAGAR

DR. VANDANA KOHLI, DR. PRAKRITI CHOURASIA, DR. SINGH RAHUL

Abstract

Phacolytic glaucoma is a rare form of open angle glaucoma which occurs when lens proteins leak through intact anterior capsule. This is a case of 71year female presented with complaints of sudden onset pain and redness in right eye. Visual acuity was light perception with IOP 62mmHg. Examination revealed congestion, corneal edema, hypopyon, mid-dilated, nonreactive pupil and hypermature. USG B-scan showed hyperechogenic opacities in anterior vitreous. She was started on anti glaucoma medications, topical and systemic steroids. Intraoperatively, an unusual presence of liquified cortical matter, sticking to the posterior surface of intact posterior capsule (PC) was noted, it was managed with oral and topical steroids along with anti glaucoma medications. It got absorbed in 6 weeks after which secondary IOL was implanted. We presumed that the cortical matter had leaked from microleak in PC. The surgeon should be aware of this condition as it can rupture PC if one attempts to aspirate it.