Tae Hyung Kim,1Seong Jae Kim,1Eurie Kim,1In Young Chung,1,2Jong Moon Park,1,2Ji Myung Yoo,1,2Jun Kyung Song,1,2
and Seong Wook Seo1,2
1Department of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.
2Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.
Corresponding author: Dr. Seong Wook Seo, Department of Ophthalmology, Gyeongsang National University College of Medicine, 92 Chiram-dong, Jinju 660-751, Korea. Tel: 82-55-750-8170, Fax: 82-55-758-4158, Email: stramast@gnu.ac.kr
Received July 31, 2007; Revised October 18, 2007; Accepted October 18, 2007.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
To report acute onset lens particle glaucoma associated with a spontaneous anterior capsular dehiscence. A 66-year-old man presented with spontaneous anterior lens capsule dehiscence with an acute onset of right eye pain that was associated with white particles in the anterior chamber angle and intraocular pressure (IOP) of 55 mmHg. No trauma or other inflammatory antecedents were reported. A hypermature cataract was observed at slit lamp exam. After medical treatment without IOP control, we performed extracapsular cataract extraction and anterior vitrectomy. Anterior chamber aspirate confirmed the presence of macrophages. The postoperative IOP at one month was 16 mmHg OD without medication. Spontaneous dehiscence of the anterior lens capsule in a patient with a hypermature cataract may release lens cortical material, resulting in lens particle glaucoma. Prompt surgical removal of the lens material usually controls the high IOP, and the need for additional glaucoma surgery is not common.
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