Phacolytic Glaucoma Follow-up
- Author: Kayoung Yi, MD, PhD; Chief Editor: Hampton Roy, Sr, MD more...
Further Outpatient Care
In most cases, IOP begins to rapidly normalize following cataract extraction, allowing discontinuation of ocular medications. A minority of patients will have persistent elevation of IOP requiring long-term medical therapy or filtering surgery to control the glaucoma.
Further Inpatient Care
Inpatient care is not usually necessary for phacolytic glaucoma unless the patient is briefly hospitalized following emergency cataract extraction.
Removal of mature or hypermature cataracts may be preventive.
Potential complications of phacolytic glaucoma include the following:
Loss of vision from uncontrolled glaucoma and/or persistent corneal edema
Surgical complications, including suprachoroidal hemorrhage, capsular rupture with loss of lens material into the posterior segment, corneal injury, and vitreous prolapse
Prognosis is excellent, with most patients experiencing marked improvement in vision following cataract extraction; however, delayed treatment may cause a poor outcome.
Patients with phacolytic glaucoma (PG) may have a worse prognosis than patients with phacomorphic glaucoma.
In most cases, treatment to lower intraocular pressure can be discontinued after cataract extraction. A minority of patients who have persistent intraocular pressure elevation may need long-term medical therapy or a filtering surgery to control intraocular pressure.
Seek a comprehensive eye examination when progressive vision loss is first noted.
For excellent patient education resources, visit eMedicineHealth's Eye and Vision Center. Also, see eMedicineHealth's patient education articles Glaucoma Overview, Glaucoma FAQs, and Glaucoma Medications.
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