A Study of Visual Rehabilitation and Intraocular Pressure Control in Phacolytic Glaucoma

Author:

Bashir Sheikh1,Lone Imtiyaz1,Wani Fayka1,Sumaiya Qazi1

Affiliation:

1. Department of Ophthalmology, SKIMS Medical College, Srinagar, India

Abstract

<i>Purpose</i>: To evaluate the visual recovery and intraocular pressure control after cataract surgery in patients of phacolytic glaucoma. <i>Methods</i>: 23 patients diagnosed clinically as phacolytic glaucoma and included in the study were operated upon using either SICS or Phacoemulsification procedure after lowering of the Intraocular pressure (IOP) and control of ocular inflammation. <i>Results</i>: Post-operatively 21.73% of patients achieved a best corrected visual acuity (BCVA) of 6/60-6/12, 43.82% had a BCVA of 4/60-6/60 and 30.43% achieved a final BCVA between 4/60 to only perception of light. However 86.95% of patients maintained an IOP less than 20 mm Hg, 8.69% had an IOP between 20-23 mm Hg and 4.34% had an IOP between 24-30 mm Hg requiring a Glaucoma filtering surgery. <i>Conclusion</i>: Patients of Phacolytic Glaucoma if present at an early stage can have a good visual recovery and well controlled IOP in the post-operative period.

Publisher

Science Publishing Group

Reference16 articles.

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2. Morton SJ, Meirick T, Flanary WE, Oetting TA. Phacolytic Glaucoma due to Morgagnian Cataract. EyeRounds.org. posted April 25, 2018.

3. Epstein DL, Jedziniak JA, Grant WM. Identification of heavy molecular-weight soluble protein in aqueous humor in human phacolytic glaucoma. Invest Ophthalmol Vis Sci. 1978; 17: 398–402.

4. Yoo WS, Kim BJ, Chung IY, Seo SW, Yoo JM, Kim SJ. A case of Phacolytic glaucoma with anterior lens capsule disruption identified by scanning electron microscopy. BMC Ophthalmol. 2014; 14: 133.

5. Gifford, H.: Danger of the Spontaneous Cure of Senile Cataract.Am. J. Ophth. 1900; 17: 289-293.

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