Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 1994  |  Volume : 42  |  Issue : 3  |  Page : 145--147

Phacolytic glaucoma-its treatment by planned extracapsular cataract extraction with posterior chamber intraocular lens implantation


Gurdeep Singh1, Jagmeet Kaur2, Sanjay Mall1 
1 Gandhi Medical College, Bhopal, India
2 Indian Council of Medical Research, Bhopal, India

Correspondence Address:
Gurdeep Singh
E-1/100, Arera Colony, Bhopal 462 016
India

Phacolytic glaucoma has traditionally been treated with intracapsular lens extraction to avoid any anaphylaxis. Various mechanisms have been described for the rise of intraocular pressure in these cases. The present study was undertaken to evaluate the response of extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens implantation (PC IOL) in five cases of phacolytic glaucoma that occurred between March 1989 and August 1990. A planned extracapsular cataract extraction with can-opener capsulectomy was done in all the cases with placement of a sulcus-fixated modified J-loop Sinskey design intraocular lens. With a mean follow-up period of two years, all patients (100%) maintained a normal postoperative intraocular pressure of less than 20 mm Hg without any additional medical therapy. The final best-corrected visual acuity in 4 cases (80%) was 6/12 or better, while in one case it was 6/24 due to a senile maculopathy. These results show that ECCE with PC IOL implantation is a safe and efficacious method of visual rehabilitation in cases of phacolytic glaucoma


How to cite this article:
Singh G, Kaur J, Mall S. Phacolytic glaucoma-its treatment by planned extracapsular cataract extraction with posterior chamber intraocular lens implantation.Indian J Ophthalmol 1994;42:145-147


How to cite this URL:
Singh G, Kaur J, Mall S. Phacolytic glaucoma-its treatment by planned extracapsular cataract extraction with posterior chamber intraocular lens implantation. Indian J Ophthalmol [serial online] 1994 [cited 2021 Jan 28 ];42:145-147
Available from: https://www.ijo.in/article.asp?issn=0301-4738;year=1994;volume=42;issue=3;spage=145;epage=147;aulast=Singh;type=0