Dr. Sumitro Saha, S09339
Phacolytic glaucoma is an acute clinical condition caused by leakage of high molecular weight lens protein from hyper-mature cataracts into the anterior and posterior chambers of the eye which blocks the trabecular meshwork leading to high intraocular pressure and also elicits severe inflammatory reaction. This is an ophthalmic emergency situation, requiring prompt medical and surgical intervention. This study correlates the post-management visual outcome with the clinical presentation, initial medical management given, surgical events and post-operative course.This retrospective study includes 18 patients of phacolytic glaucoma. Immediate medical management was done followed by cataract extraction on the same or following day. Manual Small Incision Cataract Surgery (MSICS) was performed in most cases after preoperative mannitol infusion. Post-operatively topical steroids and cycloplegics were administered and patients were followed-up at 2 weeks.