Phacolytic Glaucoma Workup

Updated: Apr 06, 2017
  • Author: Kayoung Yi, MD, PhD; Chief Editor: Inci Irak Dersu, MD, MPH  more...
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Workup

Histologic Findings

Although light microscopy showed an intact anterior capsule, scanning electron microscopic showed disruption of the anterior capsule in a case of phacolytic glaucoma. [15]

In questionable cases, a diagnostic paracentesis should show characteristic swollen macrophages with engulfed lens material on phase contrast microscopy.

See the images below.

Microscopy of the aspirate at the time of cataract Microscopy of the aspirate at the time of cataract extraction shows clumped, notched rectangular platelike crystals from the aqueous of a patient with phacolytic glaucoma (X160). Reproduced from J Korean Ophthalmol Soc 2000 Sep;41(9): Copyright © 2000, Korean Ophthalmological Society. All rights reserved.
Microscopy of the aspirate at the time of cataract Microscopy of the aspirate at the time of cataract extraction of a patient with phacolytic glaucoma shows round, regular cells with foamy cytoplasm consistent with macrophages (*). A leukocyte (white arrow) and an erythrocyte (black arrow) also are seen (X160). Reproduced from J Korean Ophthalmol Soc 2000 Sep;41(9): Copyright © 2000, Korean Ophthalmological Society. All rights reserved.