Revista de Ciencias Médicas de Pinar del Río (May 2018)
Ophthalmic ocular hypertension an atypical case
Abstract
Introduction: phacolytic ocular hypertension is a condition where an increase in intraocular pressure is observed; which is secondary to the obstruction of the trabecular meshwork due to the deposition of high molecular weight crystalline proteins and macrophages in patients with hyper-mature cataract. Case report: a 68-year-old male patient with facolytic ocular hypertension in the left eye was examined. During the extraction of the lens and the aspiration of cortical remains, it was found that white flocculent material persisted between the posterior capsule of the lens and the anterior hyaloids, a posterior capsulotomy with anterior vitrectomy and IOL implantation in sulcus had to be performed. Despite the risks involved, satisfactory surgical results were achieved. Conclusions: the definitive behavior in any case with ocular facolytic hypertension involves the extraction of the lens; however, the patient’s own ocular characteristics must be assessed in such a way that the behavior to be followed can be individualized in order to obtain a surgical result and a favorable evolution.
