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UCOMA
64 | EYEWORLD | OCTOBER 2019
by Stefanie Petrou Binder, MD
EyeWorld Contributing Writer
PRESENTATION SPOTLIGHT
terms of the effect on IOP and to point out the
challenges it can present intraoperatively."
Phacomorphic glaucoma (lens swelling) is
the term used for secondary angle-closure glau-
coma due to lens intumescence. The increase in
lens thickness can be caused by a rapidly devel-
oping senile cataract, a quickly intumescent lens,
or a traumatic cataract, which can further lead
to pupillary block and angle closure and needs
to be handled carefully and quickly.
Case study
Dr. Papandreou's case involved an 83-year-old
male patient who was referred by his optician
due to the presence of an asymmetric mature
A
case presentation on phacomorphic
glaucoma, shown as an e-poster
at the 23rd Winter Meeting of the
European Society of Cataract and
Refractive Surgeons, highlighted the
damaging effect this entity can have
on intraocular pressure. According
to Charikleia Papandreou, MD, lens-induced
glaucoma may not only cause a huge, acute rise
in IOP but it can pose challenges intraopera-
tively.
"We presented this case to emphasize
the challenges of performing a conventional
phacoemulsification operation in a lens-induced
glaucoma patient," she said. "Our take-home
message is to underline the role of cataract sur-
gery in the phacomorphic glaucoma patient in
Phacomorphic glaucoma and
cataract surgery
About the doctor
Charikleia Papandreou, MD
Urgent Eye Clinic, Lister Hospital
Stevenage, U.K.
continued on page 66
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