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March 1963

Phacolytic Glaucoma

Author Affiliations

Washington, D.C.
Former Fellow in Ophthalmic Pathology, National Institute of Neurological Diseases and Blindness, United States Public Health Service, at Armed Forces Institute of Pathology, Washington 25, D.C. Present address: Hunterdon Medical Center, Flemington, N.J.; From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology.

Arch Ophthalmol. 1963;69(3):327-329. doi:10.1001/archopht.1963.00960040333014

Increasing awareness of the syndrome of phacolytic glaucoma 1 on the part of ophthalmologists undoubtedly accounts for the decreasing number of eyes coming to enucleation with this preventable and curable form of lens-induced glaucoma. Occasionally, however, as in the following recent case, this condition is not recognized clinically, and the eye is removed.

In May, 1961, the left eye of an 82-year-old white woman was enucleated with a clinical diagnosis of "almost absolute glaucoma." The patient was known to have had a cataract in her left eye for many years, and vision had been reduced to light perception for 15 years. Lens extraction had been performed on the right eye 23 years previously, and corrected visual acuity was reduced to 15/70 due to an after-cataract. The pressure in this eye was normal. The left eye became red and painful in January, 1961, but the glaucoma was controlled with drops

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