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- Title
Spontaneous Anterior Lens Capsular Dehiscence Causing Lens Particle Glaucoma.
- Authors
Tae Hyung Kim; Seong Jae Kim; Eurie Kim; In Young Chung; Jong Moon Park; Ji Myung Yoo; Jun Kyung Song; Seong Wook Seo
- Abstract
To report acute onset lens particle glaucoma associated with a spontaneous anterior capsular dehiscence. A 66-yearold man presented with spontaneous anterior lens capsule dehiscence with an acute onset of right eye pain that was associated with white particles in the anterior chamber angle and intraocular pressure (IOP) of 55 mmHg. No trauma or other inflammatory antecedents were reported. A hypermature cataract was observed at slit lamp exam. After medical treatment without IOP control, we performed extracapsular cataract extraction and anterior vitrectomy. Anterior chamber aspirate confirmed the presence of macrophages. The postoperative IOP at one month was 16 mmHg OD without medication. Spontaneous dehiscence of the anterior lens capsule in a patient with a hypermature cataract may release lens cortical material, resulting in lens particle glaucoma. Prompt surgical removal of the lens material usually controls the high IOP, and the need for additional glaucoma surgery is not common.
- Subjects
GLAUCOMA; EYE diseases; VITREOUS body surgery; CATARACT diagnosis; SPONTANEOUS fractures; INTRAOCULAR pressure; PATIENTS; DISEASE risk factors
- Publication
Yonsei Medical Journal, 2009, Vol 50, Issue 3, p452
- ISSN
0513-5796
- Publication type
Article
- DOI
10.3349/ymj.2009.50.3.452