Lens-related glaucoma

Phacomorphic glaucoma

• Enlarging lens causes pupillary block with secondary angle closure

• Clinical features

  • Shallow AC with fixed mid-dilated pupil
  • Swollen/intumescent cataractous lens
  • Closed angle on gonioscopy
  • Open contralateral angle with deep AC (cp with PACG)

• Management: as for…