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Chapter-06 Phacomorphic Glaucoma

BOOK TITLE: Recent Advances in Ophthalmology—9

Author
1. Dada Tanuj
2. Bhartiya Shibal
ISBN
9788184489613
DOI
10.5005/jp/books/11149_6
Edition
1/e
Publishing Year
2010
Pages
10
Author Affiliations
Chapter keywords

Abstract

Phacomorphic glaucoma is defined as a secondary angle-closure glaucoma due to lens intumescence. It is characterized by a sudden rise in intraocular pressure which can compromise the function of the optic nerve and may lead to irreversible visual loss if not treated in time. Due to an unequal distribution of eye care facilities and economic constraints, especially in developing countries, many patients with age-related cataracts are not able to get cataract surgery in time and present with phacomorphic glaucoma. In the European races, a gradual shrinkage of lens with deepening of the anterior chamber occurs with development of cataract and, therefore, occurrence of phacomorphic glaucoma is relatively uncommon. On the other hand, cataract in Indians seems to become intumescent rather commonly. The reason for this racial difference in the morphological changes in the cataractous lens is unknown. Phacomorphic glaucoma constitutes 3.91% of all cataract operations done in India where the incidence of cataract surgery far exceeds the total number of surgeries.

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