A case of phacolytic glaucoma treated by paracentesis Toshihiko Yoshimura 1 , Takaaki Yamashita 1 , Yuya Kii 1 , Minoru Tanaka 1 , Taiji Sakamoto 1 1Dept of Ophthalmol, Kagoshima Univ Grad Sch of Med and Dent Sci pp.575-578
Published Date 2015/4/15
DOI https://doi.org/10.11477/mf.1410211309
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Abstract. Purpose:To report a case of phacolytic glaucoma treated by repeated paracentesis. Case:An 80-year-old female was referred to us for cataract in the right eye. Her right eye had been amblyopic since childhood. The left eye had received cataract surgery 25 years before. She had brochial asthma, ischemic cardiopathy, cerebral infarction, and dementia. No surgery was performed on the right eye. Findings:Corrected visual acuity was hand motion right and 0.4 left, with intraocular pressure(IOP)of 10 mmHg right and 6 mmHg left. The right eye showed hypermature cataract and the left eye showed intraocular lens. No surgery was performed on the right eye because of poor systemic status. Clinical Course:The right eye showed severe pain 4 months later. IOP was 63 mmHg right and 12 mmHg left. The right eye showed turbid anterior chamber, leading to the diagnosis of phacolytic glaucoma. The right eye was treated by paracentesis using a 27 G injection needle under topical anesthesia. IOP was controlled under 20 mmHg after 7 sessions of paracentesis. She has been doing well for 9 months until present. Conclusion:Repeated paracentesis was effective for phacolytic glaucoma.

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