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Phacomorphic glaucoma
Cataract & Refractive Surgery
Key Points
- •Phacomorphic glaucoma is a secondary angle-closure glaucoma caused by a swollen (intumescent) lens pushing the iris forward → pupillary block → angle closure.
- •The angle is CLOSED (unlike phacolytic glaucoma where the angle is OPEN) - this is the most commonly tested distinction.
- •Cataract extraction is the definitive treatment - medical IOP reduction is a bridge to surgery, not a long-term solution.
- •The fellow eye must be assessed with gonioscopy - often anatomically narrow and at risk for angle closure.
- •Visual prognosis is good if treated promptly (within 24–48 hours); delayed treatment leads to PAS formation and chronic glaucoma.
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17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations