Search Our Scientific Publications & Authors

Cir Cir 2022 ;90(3):414-418

Departamento de Segmento Anterior, Fundación Hospital Nuestra Señora de la Luz, IAP, Ciudad de México, México.

Objective: Describe an atypical case of a morgagnian cataract with diffusion of cortical material through the intact posterior capsule.

Clinical Case: 50-year-old male, with 24 hours of evolution, referring pain, photophobia, and seven year history of visual loss. Intraocular pressure of 36 mmHg, opaque cornea, anterior chamber with a whitish material, liquefied crystalline cortex. Read More

Cureus 2022 Mar 5;14(3):e22875. Epub 2022 Mar 5.

Ophthalmology, Hospital Canselor Tuanku Muhriz UKM (Universiti Kebangsaan Malaysia), Kuala Lumpur, MYS.

Introduction: Cataract is the main cause of preventable blindness worldwide and as such, it is important to identify these patients early before complications develop. Cataracts may progress to become intumescent (phacomorphic) or hypermature (phacolytic). This can lead to lens-induced glaucoma, which may subsequently cause permanent optic nerve damage. Read More

Indian J Ophthalmol 2022 Apr;70(4):1216-1221

Glaucoma Services, Aravind Eye Hospital and PG Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India.

Purpose: To evaluate the outcomes and identify favorable prognostic factors in patients of phacomorphic (PMG) and phacolytic glaucoma (PLG) managed by manual small-incision cataract surgery (MSICS).

Methods: The medical records of patients with PMG/PLG who had undergone MSICS in a tertiary eye hospital between September 2014 and August 2018 were retrospectively reviewed. Regression analyses were conducted to identify the predictors associated with intraoperative or postoperative complications and a favorable final outcome at 1 month, namely, a best-corrected visual acuity (BCV) of 6/18 or better and an intraocular pressure (IOP) of <21 mm Hg. Read More

Rom J Ophthalmol 2021 Jul-Sep;65(3):300-306

"Prof. Dr. Agrippa Ionescu" Clinical Emergency Hospital, Bucharest, Romania.

Our paper aims to report an unusual case of phacogenic uveitis with secondary glaucoma occurring after spontaneous rupture of the lens capsule in a patient with hypermature age-related cataract, to describe its particularities and to review the classification of the lens-induced uveitis. We described the case of an 83-year-old male with a history of hypermature cataract, who presented to our clinic for right eye pain. Examination revealed circumciliary congestion, diffuse corneal edema, lens debris floating in the anterior chamber, pseudohypopyon and the opacification of the whole lens. Read More

Indian J Ophthalmol 2021 12;69(12):3643-3647

Consultant Ophthalmologist, The Cornea Institute, KAR Campus, L V Prasad Eye Institute, Hyderabad, Telangana, India.

Purpose: To study the changing trends in the morphology of cataracts at a tertiary eye care center in South India due to COVID-19 pandemic-related national lockdown.

Methods: A retrospective study conducted at a tertiary eye care center in Andhra Pradesh state of South India, which included 1724 patients (1753 eyes) who underwent cataract surgery at our center during April 2019-July 2019 (1298 eyes of 1271 patients) and April 2020-July 2020 (455 eyes of 453 patients). Factors studied included preoperative lens status, associated phacodonesis or subluxation, pupil size, other eye lens status, associated retinal problems, glaucoma, and complications during surgery. Read More

Cureus 2021 Jun 10;13(6):e15574. Epub 2021 Jun 10.

Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Aim To identify the types of glaucoma and associated comorbidities among patients attending the ophthalmology clinic at King Abdulaziz Medical City (KAMC) in Jeddah. Methods A cross-sectional study that included all glaucoma patients at KAMC in Jeddah between June 1st, 2016 and November 30th, 2020. Data were collected through retrospective chart review from the electronic medical record system (BestCare) and utilized a structured data collection sheet. Read More

Rom J Ophthalmol 2021 Apr-Jun;65(2):191-195

Ophthalmology Department, "Dr. Carol Davila" Central Military Emergency University Hospital, Bucharest, Romania.

We presented a case of a 76-year-old male patient with phacolytic glaucoma and a rather atypical clinical presentation. The sudden onset of intense pain forced the patient to seek medical help and by doing so, further damage of the optic nerve was prevented and a good visual acuity was obtained following cataract surgery. Read More

Eur J Ophthalmol 2021 Apr 15:11206721211009446. Epub 2021 Apr 15.

Department of Ophthalmology, Shri Jagdamba Charitable Eye Hospital, Sri Ganganagar, Rajasthan, India.

Background: The purpose of this paper is to delineate a technique of using a 23G, single, sutureless transconjunctival pars plana sclerotomy to facilitate anterior segment surgery in eyes with increased positive vitreous pressure (PVP) ascribe to predisposing or intraoperative factors.

Methods: We have implemented this technique in five eyes when PVP was anticipated before the surgery because of risk factors or it was encountered during anterior segment surgery. Different case scenarios in which PVP occurs during the surgery comprising phacolytic glaucoma, corneal tear repair combined with cataract surgery with IOL in a case with traumatic corneal injury, anterior capsule rupture and secondary glaucoma, Trabeculectomy in case of uveitic glaucoma, routine phacoemulsification cataract surgery with PVP encountered during surgery were addressed by using this technique. Read More

Sci Rep 2021 04 12;11(1):7897. Epub 2021 Apr 12.

Division of Ophthalmology, Department of Visual Sciences, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo, 173-8610, Japan.

We developed a new method to retrieve a dropped nucleus of the lens via a small incision using bipolar pencils, the kebab technique, to solve the lack of small-gauge fragmatomes, and the expense and toxicity of perfluorocarbon liquids (PFCL). A total of 8 eyes in 6 patients underwent this technique and were reviewed. After vitrectomy, the dropped nucleus of the lens was lifted from the retina by adhesion with a bipolar pencil, and phacoemulsification was performed while rotating the lens. Read More

Ophthalmol Glaucoma 2021 Sep-Oct;4(5):504-511. Epub 2021 Feb 4.

Department of Glaucoma, Aravind Eye Hospital, Pondicherry, India. Electronic address:

Purpose: To determine the clinical outcomes and causes of late presentation in lens induced glaucoma (LIG).

Design: Prospective observational study.

Participants: One hundred sixty-five patients with LIG who underwent cataract surgery. Read More

Klin Monbl Augenheilkd 2021 01 17;238(1):92-95. Epub 2020 Nov 17.

Universität für Medizin und Gesundheitswissenschaften, Institut für Augenheilkunde und Sehenswissenschaften, Instituto Tecnologico y de Estudios Superiores de Monterrey, Mexico.

Nepal J Ophthalmol 2019 Jul;11(22):145-151

Reiyukai Eiko Masunaga Eye Hospital.

Introduction: Lens induced glaucoma due to hypermature cataracts is an important cause of secondary glaucoma in the developing world. The most common etiology of lens induced glaucoma is phacomorphic glaucoma from untreated senile cataract.

Objectives: To study the demographics, clinical presentations and surgical outcome of lens induced glaucoma (LIG). Read More

BMC Ophthalmol 2020 Apr 21;20(1):161. Epub 2020 Apr 21.

Department of Ophthalmology, Kaohsiung Veteran General Hospital, No.386, Dazhong 1st Rd., Zuoying Dist., Kaohsiung City, 81362, Taiwan, Republic of China.

Background: We reported a rare case of indirect choroidal neovascularization (CNV) secondary to a posterior-segment intraocular foreign body (IOFB) that was not located in the area of direct injury but in the fovea. After intravitreal injections (IVIs) of aflibercept, the choroidal neovascularization (CNV) lesion disappeared and vision improved.

Case Presentation: A 26-year-old male patient suffered from a fast-shot metallic IOFB in his right eye. Read More

Clin Exp Optom 2020 09 10;103(5):708-709. Epub 2019 Nov 10.

Department of Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

BMJ Case Rep 2019 Sep 16;12(9). Epub 2019 Sep 16.

Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Phacolytic glaucoma (PLG) is a rare complication of hypermature senile cataract. Delayed presentation of PLG may make its diagnosis and management difficult and worsen its prognosis. A woman aged 75 years complaining of sleep disturbing pain and inaccurate projection of rays oculus dextrus (OD) was referred to our centre for management of non-resolving microbial keratitis with endophthalmitis. Read More

JAMA Ophthalmol 2019 04 11;137(4):e184495. Epub 2019 Apr 11.

Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax, Nova Scotia, Canada.

Eur J Ophthalmol 2020 Sep 5;30(5):NP32-NP35. Epub 2019 Apr 5.

Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Purpose: To report a case of phacolytic glaucoma with rupture of anterior lens capsule in a case of hypermature cataract.

Methods: Case report and literature review.

Results: An 80-year-old woman presented with cloudiness and pain in the left eye for 1 day. Read More

Kaohsiung J Med Sci 2019 Jun 19;35(6):382-383. Epub 2019 Mar 19.

Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.

Ophthalmol Glaucoma 2019 Sep - Oct;2(5):335

Glaucoma Research Facility and Clinical Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

Ophthalmol Glaucoma 2019 May - Jun;2(3):155

Advanced Eye Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

J Glaucoma 2018 11;27(11):e185

Sita Lakshmi Glaucoma Center, Anand Eye Institute, Habsiguda, Hyderabad, Telangana, India.

Nepal J Ophthalmol 2016 07;8(16):161-166

Introduction: Lens Induced Glaucoma (LIG), is one of commonest cause of secondary glaucoma due to senile cataracts. The purpose of this study was to see the outcome of cataract surgery in patients with LIG.

Methods: This was a prospective case series of 40 patients with LIG who presented to our hospital between April to June 2014. Read More

J Glaucoma 2017 May;26(5):e171-e173

Henry Ford Health System Department of Ophthalmology, Detroit, MI.

Phacolytic glaucoma is an open-angle glaucoma that occurs when lens proteins from hypermature cataracts seep through an intact anterior capsule and induce obstruction of the trabecular meshwork by inflammatory cells. We review the case of a 66-year-old man who presented with acute pain, a hypermature cataract, prominent anterior chamber crystals, and elevated intraocular pressure. After cataract surgery was performed, iridescent crystals were noted in the posterior chamber. Read More

J Curr Glaucoma Pract 2016 May-Aug;10(2):68-75. Epub 2016 Aug 5.

Postgraduate and Junior Resident, Department of Ophthalmology, Navodaya Medical College Hospital & Research Centre, Raichur, Karnataka, India.

Aims: To outline the different characteristics of glaucomas and to determine the risk factors and their consequences on postoperative visual acuity, intraocular pressure (IOP), and inflammation, including corneal changes and optic disk changes.

Settings And Designs: Longitudinal prospective study done over a period of 1.5 years in a medical college hospital. Read More

BMC Infect Dis 2015 Oct 28;15:476. Epub 2015 Oct 28.

Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, 1873 Rama 4 Road, Pathumwan, Bangkok, 10330, Thailand.

Background: Intraocular tuberculosis is uncommon and has various clinical presentations. Lack of specific clinical clues can make the diagnosis challenging. The purpose of this study is to report a clinical presentation of tuberculous iridocyclitis that mimics phacolytic glaucoma and has a distinctive inflammatory deposit in the inner side of the cornea. Read More

BMC Ophthalmol 2014 Nov 19;14:133. Epub 2014 Nov 19.

Department of Ophthalmology, Gyeongsang National University, Colleage of Medicine, Jinju, South Korea.

Background: Phacolytic glaucoma is induced by lens protein or macrophages that have leaked through a macroscopically intact anterior lens capsule. Here, we report a case of phacolytic glaucoma with anterior lens capsule disruptions visualized by scanning electron microscopy (SEM).

Case Presentation: A 71-year-old man was referred to our institute for increased intraocular pressure (IOP) in the right eye. Read More

ISRN Ophthalmol 2013 25;2013:581727. Epub 2013 Jun 25.

Department of Ophthalmology, Rural Medical College of Pravara Institute of Medical Sciences, Loni, Taluka Rahata, District Ahmednagar, Maharashtra 413736, India.

Purpose. To determine the clinical profile of lens-induced glaucoma (LIG), reasons for late presentation, and outcome of current management. Methods. Read More

Arch Soc Esp Oftalmol 2015 Jan 1;90(1):40-3. Epub 2014 Jan 1.

Novovision, Madrid, España; Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España; Departamento de Ciencias Morfológicas y Cirugía, Facultad de Medicina, Universidad de Alcalá, Alcalá de Henares, Madrid, España.

Case Report: A case is presented of an acute onset lens particle glaucoma originating from a crystalline lens spontaneously dislocated into the vitreous for more than 20 years in a patient diagnosed with Marfan syndrome.

Discussion: Marfan syndrome is a connective tissue disorder with autosomal dominant inheritance caused by fibrillin gene mutation. Ectopia lentis is the predominant ocular abnormality and a major diagnostic criterion. Read More