|LETTER TO EDITOR
|Year : 2005 | Volume
| Issue : 1 | Page : 77
Phacolytic Glaucoma in Fuch's Heterochromic Uveitis
Anita Peddi, G Chandra Sekhar
L V Prasad Eye Institute, L V Prasad Marg, Banjara Hills, Hyderabad - 500 034, India
G Chandra Sekhar
L V Prasad Eye Institute, L V Prasad Marg, Banjara Hills, Hyderabad - 500 034
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Peddi A, Chandra Sekhar G. Phacolytic Glaucoma in Fuch's Heterochromic Uveitis. Indian J Ophthalmol 2005;53:77
|How to cite this URL:|
Peddi A, Chandra Sekhar G. Phacolytic Glaucoma in Fuch's Heterochromic Uveitis. Indian J Ophthalmol [serial online] 2005 [cited 2020 Nov 27];53:77. Available from: https://www.ijo.in/text.asp?2005/53/1/77/15294
Fuch's heterochromic uveitis (FHU) usually presents as posterior subcapsular cataract. Phacolytic glaucoma in FHU has not been reported. We describe our experience with two patients who presented to us with this combination. Both the patients were females (50 and 55 years old) and complained of a sudden painful diminution of vision of a few days' duration in the right eye. The left eye was completely normal in both patients [Figure, left]. The right eye showed a morgagnian cataract with typical features of phacolytic glaucoma (conjunctival congestion, corneal oedema, deep anterior chamber marked flare and cells and white chunky particles floating in the anterior chamber). There was loss of iris pattern and patchy hypochromia [Figure, right] suggestive of FHU in both the patients. An uneventful extracapsular cataract extraction with posterior chamber intraocular lens in the first patient did not control the intraocular pressure (IOP) despite control of the inflammation and maximal anti-glaucoma medications; the IOP remained 35 mm Hg after 6 weeks of follow up in the first patient. With this experience an extracapsular cataract extraction with posterior intraocular lens implantation with trabeculectomy was advised in the second patient. However, the patient did not show up for surgery. In phacolytic glaucoma, cataract extraction is the definitive treatment and there is usually complete remission of glaucoma, while glaucoma secondary to FHU is refractory to medical treatment and needs surgical intervention. Unilaterality and typical iris changes in these two cases suggest a diagnosis of FHU in addition to phacolytic glaucoma. Glaucoma in this situation seems to be refractory to cataract surgery alone and combined trabeculectomy may be advisable.
| References|| |
Liesegang TJ. Clinical features and Progression in Fuch's Uveitis Syndrome. Arch Ophthalmol 1982;100:1622-26.
Hoskins HD, Kass MA. Diagnosis and Therapy of the Glaucomas. Sixth edition. Baltimore, CV Mosby. p 318.
Jones NP. Fuch's Heterochromic Uveitis update. Surv Ophthalmol 1993;37:253-72.
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