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  5. VT0091 : Cataract extraction and intraocular lens implantation in patient with phacolytic glaucoma

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Chief & Presenting Author: Dr.Jitender Kumar

Co Author(s): Prof. Dr. Manisha Nada, Dr. Chander Prabha, Dr.Sonam Gill

Abstract

PURPOSE: To report a challenging case of Cataract extraction and intraocular lens implantation in patient with phacolytic glaucoma
INTRODUCTION: Lens induced glaucoma is one of the commonest cause of secondary glaucoma, requiring an immediate attention and management to prevent blindness.
MATERIAL & METHODS: A 46 year old male presented with complaint of diminution of vision and pain in right eye for 2 days. Lens induced glaucoma was diagnosed and intraocular pressure controlled with antiglaucoma therapy. He was myopic and IOL power calculated using SRK T/2 formula.
RESULTS: He was planned for cataract extraction and IOL implantation.At one month follow up, his BCVA was 6/9.
CONCLUSION: Management of coincident glaucoma and cataract needs customized solutions for each individual patient: When significant cataract is present, but IOP is well controlled, cataract surgery alone may be chosen. If both conditions need early surgery, combined procedures should be considered.