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Chapter-09 Phacomorphic Glaucoma

BOOK TITLE: Gems of Ophthalmology—Glaucoma

Author
1. S Bhartiya
2. T Dada
ISBN
9789352702497
DOI
10.5005/jp/books/18037_10
Edition
1/e
Publishing Year
2018
Pages
10
Author Affiliations
1. Fortis Memorial Research Institute, Gurugram, Haryana, India
2. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
Chapter keywords
Phacomorphic glaucoma, intraocular pressure, IOP, angle-closure glaucoma, optic nerve, medical therapy, peripheral iridectomy, combined surgery, Ahmed glaucoma valve, AGV

Abstract

Phacomorphic glaucoma is defined as secondary angle-closure glaucoma due to lens intumescence and is characterized by a sudden rise in intraocular pressure (IOP), which can compromise the function of the optic nerve and may lead to irreversible visual loss if not treated in time. This chapter covers the clinical features, clinical evaluation, mechanism, treatment, phacoemulsification, combined surgery, problems in managing phacomorphic glaucoma, and postoperative regimen. Meticulous postoperative care can improve the visual results even in phacomorphic glaucoma. Potent topical steroids (prednisolone acetate drops 1%) at a frequency of every half to one hourly, with topical antibiotic cover (broad spectrum fourth generation fluoroquinolone) to combat inflammation and prevent infection are imperative.

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