title: First Described Case of Anterior and Posterior Segment Crystals in Phacolytic Glaucoma.
abstract: Phacolytic glaucoma is an open-angle glaucoma that occurs when lens proteins from hypermature cataracts seep through an intact anterior capsule and induce obstruction of the trabecular meshwork by inflammatory cells. We review the case of a 66-year-old man who presented with acute pain, a hypermature cataract, prominent anterior chamber crystals, and elevated intraocular pressure. After cataract surgery was performed, iridescent crystals were noted in the posterior chamber. Anterior chamber crystals have been associated with phacolytic glaucoma, but this is the first case demonstrating crystals in the posterior chamber as well.
authors.affiliation: Henry Ford Health System Department of Ophthalmology, Detroit, MI.
authors.forename: Manal H
authors.initials: MH
authors.lastname: Peracha-Riyaz
authors.forename: Zuhair H
authors.initials: ZH
authors.lastname: Peracha
authors.forename: Justin
authors.initials: J
authors.lastname: Spaulding
authors.forename: Paul
authors.initials: P
authors.lastname: Baciu
authors.forename: Shareef
authors.initials: S
authors.lastname: Ahmed
authors.forename: Nauman R
authors.initials: NR
authors.lastname: Imami
authors.forename: Deborah
authors.initials: D
authors.lastname: Darnley-Fisch
authors.forename: Uday
authors.initials: U
authors.lastname: Desai
mesh_terms: D000368:Aged; D000869:Anterior Eye Segment / Q000473:pathology*; D002386:Cataract / Q000150:complications*; D003459:Crystallins / Q000009:adverse effects*; D003460:Crystallization; D058447:Eye Pain / Q000209:etiology; D005902:Glaucoma, Open-Angle / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D032801:Iridectomy; D008297:Male; D018918:Phacoemulsification; D057972:Posterior Eye Segment / Q000473:pathology*; D014065:Tonometry, Ocular; D014129:Trabecular Meshwork / Q000473:pathology
chemical_list: D003459:Crystallins