Intricate clinical evaluation and management strategies in vision-threatening phacomorphic glaucoma.

Abstract

As we all know, intumescent cataract is a surgical challenge for all cataract surgeons, and the definitive treatment is cataract extraction. If left untreated, it can result in phacomorphic glaucoma, posing management challenges.[1] These patients present with very high uncontrolled intraocular pressure (IOP) and a shallow anterior chamber. Intraoperatively, there is an increased risk of zonular dialysis (ZD), posterior capsular rent (PCR), whole bag removal, vitreous loss, and expulsive choroidal hemorrhage.[2] Prompt diagnosis and meticulous management are warranted to safeguard vision in these cases. We read an interesting article by Gupta et al.[3] on “Survival analysis of phacomorphic glaucoma at a tertiary hospital in North India,” and we must congratulate the authors for bringing out a large‐scale analysis. However, we have a few important observations and suggestions to make that we believe will benefit all ophthalmologists and readers globally.