Unusual Presentation of Phacolytic Glaucoma: Simulating Microbial Keratitis
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...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/850919 |
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| author | Srikant Kumar Sahu Siddharth Keswarwani Ruchi Mittal |
| author_facet | Srikant Kumar Sahu Siddharth Keswarwani Ruchi Mittal |
| author_sort | Srikant Kumar Sahu |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-f8d7bc7290f54a5aa67a391b08d2661f |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-f8d7bc7290f54a5aa67a391b08d2661f2025-02-03T01:20:42ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302011-01-01201110.1155/2011/850919850919Unusual Presentation of Phacolytic Glaucoma: Simulating Microbial KeratitisSrikant Kumar Sahu0Siddharth Keswarwani1Ruchi Mittal2Cornea and Anterior Segment Service, L V Prasad Eye Institute, Bhubaneswar, Orissa 751024, IndiaMiriam Hymen Children’s Eye Care Center, L V Prasad Eye Institute, Bhubaneswar, Orissa 751024, IndiaDalmia Ophthalmic Pathologic Services, L V Prasad Eye Institute, Hyderabad, Andra Pradesh 500034, IndiaThe 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.http://dx.doi.org/10.1155/2011/850919 |
| spellingShingle | Srikant Kumar Sahu Siddharth Keswarwani Ruchi Mittal Unusual Presentation of Phacolytic Glaucoma: Simulating Microbial Keratitis Case Reports in Ophthalmological Medicine |
| title | Unusual Presentation of Phacolytic Glaucoma: Simulating Microbial Keratitis |
| title_full | Unusual Presentation of Phacolytic Glaucoma: Simulating Microbial Keratitis |
| title_fullStr | Unusual Presentation of Phacolytic Glaucoma: Simulating Microbial Keratitis |
| title_full_unstemmed | Unusual Presentation of Phacolytic Glaucoma: Simulating Microbial Keratitis |
| title_short | Unusual Presentation of Phacolytic Glaucoma: Simulating Microbial Keratitis |
| title_sort | unusual presentation of phacolytic glaucoma simulating microbial keratitis |
| url | http://dx.doi.org/10.1155/2011/850919 |
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