When Phacomorphic Glaucoma Becomes Phacolytic: A Case Report

Research Area: Medicine Authors
Chaimaa BARDI* IhsanE HASNAOUI Salma HASSINA Zahira HAZIL Cheikhna BEGNOUG Louay SERGHINI EL Hassan ABDELLAH
Department of Ophthalmology B, Rabat Specialty Hospital, CHU ibn Sina, Mohammed V University in Rabat, Morocco. RABAT MOROCCO


Abstract
Ocular hypertonia of crystalline origin represents a medical and surgical emergency, although it is relatively uncommon in developed nations, its prevalence is notable in our specific setting, contributing to approximately 1% of cataract surgeries. The primary approach to management involves symptomatic treatment with hypotensive agents and the consideration of extracapsular lens extraction, either with or without subsequent implantation. The prognosis of this condition is contingent upon prompt intervention, the extent of hypertonia severity, and the degree of optic nerve impairment. In this report, we present a case study involving a 70-year-old patient with cataract complications characterized by ocular hypertonia, emphasizing the clinical considerations and challenges associated with its diagnosis and management.

Keywords
Ocular hypertonia; Crystalline origin; Medico-surgical emergency; Extracapsular lens extraction; Prognosis and optic nerve damage; 70-year-old patient cataract complications

Doi : https://doi.org/10.5281/zenodo.10439641

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Cite
BARDI, C., HASNAOUI, I., HASSINA, S., HAZIL, Z., BEGNOUG, C., SERGHINI, L., & ABDELLAH, E. H. (2023). When Phacomorphic Glaucoma Becomes Phacolytic: A Case Report. International Journal of Science, Applications and Prosperity, 1(1), 2‑5.

Licence
Copyright @ by the authors. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

References
[1] M. Elyadari, S. Azennoud, S. Elmerrouni, S. Harchali, M. Zarrouki, Z. Jebbar, A. El Hassan, A. Berraho, Les hypertonies oculaires d’origine cristallinienne : à propos de 60 cas, Journal Français d'Ophtalmologie, Volume 40, Issue 9, 2017, Pages e343-e346, ISSN 0181-5512, https://doi.org/10.1016/j.jfo.2017.02.010.
[2] Angra SK, Pradhan R, Garg SP. Cataract induced glaucoma--an insight into management. Indian J Ophthalmol. 1991 Jul-Sep;39(3):97-101. PMID: 1841901.
[3] M Boukhrissa, M Bouazza , A.Mchachi,L Benhmidoune, R. Rachid, A Chakib,A Amraoui. LES HYPERTONIES OCULAIRES D’ORIGINE CRISTALLINIENNE : ASPECTS ÉPIDÉMIOLOGIQUES, CLINIQUES ET THÉRAPEUTIQUES . Journal de la Société Marocaine d’Ophtalmologie, 2016.
[4] Mavrakanas N, Axmann S, Issum CV, Schutz JS, Shaarawy T. Phacolytic glaucoma: are there 2 forms? J Glaucoma. 2012 Apr-May;21(4):248-9. doi: 10.1097/IJG.0b013e31820d7d2e. PMID: 21423037.
[5] Tomey KF, al-Rajhi AA. Neodymium:YAG laser iridotomy in the initial management of phacomorphic glaucoma. Ophthalmology. 1992 May;99(5):660-5. doi: 10.1016/s0161-6420(92)31912-8. PMID: 1594209.