EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
Issue link: https://digital.eyeworld.org/i/1171786
G Contact information Name: by Title www.escrs.org 24 th ESCRS Winter Meeting In conjunction with SAMIR (Moroccan Society of Implant & Refractive Surgery) 21 – 23 February 2020 Marrakech Mövenpick Hotel Mansour Eddahbi & Palais des Congrès, Marrakech, Morocco Abstract Submission Deadline 3 1 October 2019 Postoperative outcomes One week following cataract surgery, IOP was 15 mm Hg in the patient's left eye, remaining within normal limits without further interventions. Visual acuity in this eye was 6/12 and the patient was very satisfied with the outcome of the procedure. No other postoperative complications were reported. Phacomorphic glaucoma can be accompanied by acute pain, blurred vision, rainbow-colored halos around lights, and even nausea and vomiting. As in Dr. Papandreou's pa- tient, this entity frequently causes decreased vision before the onset of an acute episode related to cataract. Signs associated with phacomorphic glaucoma include: IOP in excess of 35 mm Hg, a sluggish, irregular pupil, corneal edema, injection of conjunctival and episcleral vessels, shal- low AC, lens enlargement and forward displacement, and unequal cataract formation between the two eyes. The development of phacomorphic cataract is more common in smaller hyperopic eyes with a larger crystalline lens and shallower anterior chamber. The angle closure episode can be triggered, for instance, by dim light causing pupil dilatation. Angle closure may also be caused by the encroachment of the lens spatially and the pressure from behind the lens. Zonular weakness from advanced age, trauma, or due to exfoliation can play a causative role as well. Although the surgery was well managed, a number of factors could have complicated it. "This case was rare, given that zonular dehiscence is often managed with in- tracapsular cataract extraction with aphakia and secondary lens implantation. Furthermore, it is common practice to perform extracapsular cataract extraction or even intracap- sular cataract extraction with trabeculectomy for the man- agement of lens-induced glaucoma. However, we managed to perform conventional phacoemulsification surgery with intraocular lens implantation in the bag successfully and uneventfully," Dr. Papandreou said.