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August 1964

Phacolytic Glaucoma Aggravated by Hyphema That Followed Iridectomy

Author Affiliations

Washington, DC
Special Fellow in Ophthalmic Pathology, National Institute of Neurological Diseases and Blindness, National Institutes of Health, at the Armed Forces Institute of Pathology, Washington, DC (Dr. Fencon); Visiting Scientist, Ophthalmic Pathology Branch, Armed Forces Institute of Pathology, Washington, DC, on sabbatical leave from the Faculty of Medicine, University of Mexico (Dr. de Buen).; From the Registry of Ophthalmic Pathology, Armed Forces Institute of Pathology, Washington, DC 20305.

Arch Ophthalmol. 1964;72(2):227-230. doi:10.1001/archopht.1964.00970020227015

The purpose of this report is to present an unusual case of acute open-angle secondary glaucoma. The phacolytic origin of the glaucoma was unrecognized, and the condition was treated by iridectomy. Postoperative hemorrhage aggravated the glaucoma, and this unfortunate combination of events led to enucleation.

Report of a Case 

Clinical History.  —The completely blind right eye of a 62-year-old Caucasian woman was enucleated 18 days after the onset of acute congestive glaucoma. When first examined, the day the glaucomatous attack began, the eye was thought to have a shallow chamber and a "mature" cataract. A diagnosis of acute angle-closure glaucoma was made, and an iridectomy was performed immediately. After this surgical intervention there was bleeding into the anterior chamber and the tension became "too high to measure."Lens extraction had been performed on the left eye many years before; the patient's corrected visual acuity was 20/40, and the intraocular pressure