Unusual Presentation of Phacolytic Glaucoma : Simulating Microbial Keratitis
Joint Authors
Sahu, Srikant Kumar
Mittal, Ruchi
Keswarwani, Siddharth
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-12-20
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
The differential diagnoses for phacolytic glaucoma are acute angle closure glaucoma, open angle glaucoma with uveitis, neovascular glaucoma, and glaucoma secondary to trauma.
We report an unusual case where the dislocated cataractous lens firmly adherent to the corneal endothelium evoked a cellular reaction similar to phacolytic glaucoma but clinically appeared like a deep corneal abscess.
The 73-year-old lady presented with severe photophobia, pain, and redness in the left eye for two months despite being on antibiotics and antifungals.
Anterior chamber wash revealed a cataractous lens buried within the infiltrate, which was removed and sent for histopathological examination.
Postoperatively she was treated with topical ofloxacin, homatropine, dorzolamide, timolol, and tapering dose of steroids.
Histological confirmation of inflammation, histiocytic response, and giant cells around the lens material confirmed the ongoing phacolytic process.
Photophobia, pain, and redness subsided following removal of the lens and surrounding cellular reaction.
At her last visit, four months after surgery, she was comfortable.
American Psychological Association (APA)
Sahu, Srikant Kumar& Keswarwani, Siddharth& Mittal, Ruchi. 2011. Unusual Presentation of Phacolytic Glaucoma : Simulating Microbial Keratitis. Case Reports in Ophthalmological Medicine،Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-503265
Modern Language Association (MLA)
Sahu, Srikant Kumar…[et al.]. Unusual Presentation of Phacolytic Glaucoma : Simulating Microbial Keratitis. Case Reports in Ophthalmological Medicine No. 2011 (2011), pp.1-3.
https://search.emarefa.net/detail/BIM-503265
American Medical Association (AMA)
Sahu, Srikant Kumar& Keswarwani, Siddharth& Mittal, Ruchi. Unusual Presentation of Phacolytic Glaucoma : Simulating Microbial Keratitis. Case Reports in Ophthalmological Medicine. 2011. Vol. 2011, no. 2011, pp.1-3.
https://search.emarefa.net/detail/BIM-503265
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-503265