Phacolytic glaucoma is a distinct entity than can be recognized clinically and pathologically. It is manifested clinically by the acute onset of glaucoma in an eye with a hypermature cataract. Cells and flare are present in a deep anterior chamber, and typically there is a lack of synechias as well as a lack of keratic precipitates. Appropriate treatment consists of prompt cataract extraction with irrigation of the anterior chamber.
One of the clinical features of phacolytic glaucoma that has been emphasized is its occurrence in elderly patients with senile cataracts who present no evidence of any other intraocular disease. In the clinicopathologic study of Flocks et al,1 the majority of the 138 patients were over 70 years of age, and the fellow eye was aphakic. In only eight cases were the cataracts considered of traumatic origin. These eight cases were included in a group of patients with monocular cataract
SMITH ME, ZIMMERMAN LE. Contusive Angle Recession in Phacolytic Glaucoma. Arch Ophthalmol. 1965;74(6):799-804. doi:10.1001/archopht.1965.00970040801011