Lens-induced glaucoma 65 years after congenital cataract surgery.
OBJECTIVE
We observed an unusual case of lens-induced glaucoma that occurred 65 years after congenital cataract extraction. We successfully treated the patient by removing the residual lens material with pars plana vitrectomy.


CONCLUSIONS
The intraocular specimen exhibited lens material, epithelial cells, and macrophages. It may have taken years for the residual lens material to denature and break into small pieces, which resulted in phacolytic and lens-particle glaucoma.
Department of Ophthalmology, Cleveland Clinic Foundation, OH 44195-5024.
D
D
Barnhorst
S M
SM
Meyers
T
T
Myers
D000368:Aged; D002386:Cataract / Q000151:congenital*; D002387:Cataract Extraction; D005260:Female; D005901:Glaucoma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007910:Lenses, Intraocular / Q000009:adverse effects*; D013997:Time Factors