SURGICAL APPROACH IN PHACOMORPHIC GLAUCOMA
Published 2022 - 26th ESCRS Winter Meeting
Reference: P047 | Type: Abstracts | DOI: 10.82333/jrx5-3p79
Authors: Cerghedean-Florea Maria-Emilia* 1 , Teodoru Adrian 1
1Ophthalmology,Arcada Clinic,Sibiu,Romania;Medicine,Faculty of Medicine, University “Lucian Blaga,Sibiu,Romania
Purpose
Phacomorphic glaucoma is a secondary angle closure glaucoma caused by special forms of advanced cataract, usually associated with increased of the lens volume. In some cases of young adults with high IOP values morphologic changes of the lens could be involved in the pathogenesis of the disease.
Setting
ARCADA Clinic Sibiu
Faculty of Medicine, University “Lucian Blaga” din Sibiu, Romania
Methods
We report the management of a case of a 42-year-old woman diagnosed with phacomorphic glaucoma, accidentally discovered after a routine ophthalmological exam.
Results
The ophthalmological exam revealed: RE BCVA - 0.7, LE BCVA – 1, RE IOP - 19 mmHg, LE IOP - 30 mmHg. Both lenses were transparent. Old records revealed the patient to be hypermetropic. Biometry also showed shallow anterior chamber, increased sagittal lens volume and short axial length. We started with hypotensive treatment in both eyes and peripheral laser iridotomy in LE to decrease intraocular pressure, in order to perform the surgery. Phacoemulsification with IOL implantation was performed in both eyes. Postoperative outcome was positive: BCVA – 20/20 in both eyes with normal IOP.
Conclusion
The diagnosis of phacomorphic glaucoma requires special attention especially in cases of transparent lens and without an ophthalmic history , surgical approach remains the only effective treatment in these cases.