Acute lens-induced glaucomas: A review

Comparison of visual outcome and complications following early and delayed cataract surgery in phacolytic glaucoma

“…These changes may increases fragility of the capsule and zonules. 3,8 This may be reason for more number of cases with intra operative complications in our study. However all patient had primary IOL implantation.…”

“…[4][5][6][7] Presence of more HMW soluble proteins in cataract of PLLIG patients increases the AC inflammation, fragility of capsule and zonules,microscopic defect in the PC causing posterior segment inflammation, vitreous degeneration. 3,8 These factors may contribute in intra operative capsule related complication like difficulty in doing CCC, Zonular dialysis and PC tear with/ without vitreous disturbances. In a retrospective study of 93 patients with LIG by Pranja VN et al 6 Forty four cases were having PLLIG and in 55% (24/44) cases PC IOL was not implanted due to the disturbances to capsule, zonules and vitreous.…”

“…On gonioscopy open angle with or without cortical matter. 3,5,7 (Figure 1) All patient were admitted and treated with topical antibiotic steroid drops 2 hrly, timolol 0.5%, Brimonidine 0.2 %, Cyclopentolate 2% and oral acetazolamide 250 mg 8 hrly. In patients with high IOP of > 40 mmHg I V(Intra venous) mannitol was used.…”

“…Four types of LIG are explained, Phacolytic glaucoma(PLLIG) due to release of heavy molecular weight (HMW) soluble proteins through microscopic capsular defect, Phacomorphic glaucoma (PMLIG) due to increased antero posterior thickness of lens, phacogenic glaucoma(PGLIG) severe inflammation due to macroscopic rupture of capsule and phacoanaphalytic glaucoma(PALIG) following cataract surgery. [1][2][3][4] Incidence of LIG in cataract population is 1.5% 4 and upto 1% in patients with mature/hyper mature cataract. 5 Two common inflammation and raised intraocular pressure.…”

“…4,5 Commonly accepted findings in PLLIG are congested eye, corneal oedema, deep AC with moderate to severe flare and cells (with or without pseudohypopyon), floating lens fibers, hypermature cataract (with or with out Morgagnian) and raised intraocular pressure (IOP) in addition to symptoms of pain with history of prolonged poor vision. 3,5,7 Recommended management protocol of PLLIG are initially with medical therapy by topical beta blockers, alpha agonist, carbonic anhydrase inhibitors and intravenous (IV) mannitol to control IOP (Intra Ocular Pressure).Topical steroid to control the inflammation, cycloplegic to stabilize blood aqueous barrier and reduce pain. Definitive treatment is by planned extra capsular cataract extraction (ECCE).…”