Lens Dislocation and Phacoantigenic Glaucoma Secondary to Ocular Trauma in a 54-Year-Old Male: A Case Report and Literary Review

Main Article Content

Bersayk Saykber Vásquez Cervera Arkin Bryan Villacis Irina Suley Tirado Pérez

Abstract

Phacoantigenic glaucoma (previously known as phacoanaphylactic glaucoma) is a rare condition in which a patient presents a sensitization to their own ocular lens proteins after surgery or trauma that produces an inflammatory response. The clinical picture is variable, but the majority of patients present a moderate reaction in the anterior chamber. It is recommended the initiation of topical corticosteroids and aqueous suppressors with the goal of reducing the inflammatory response and the intraocular pressure. Surgical removal of the residual material may be necessary once the inflammation is under control as presented in the following case. The description of a clinical case and a review of the topic are carried out considering the little literature available on this pathology, due to reasons such as infrequency and scarce publication of this type of medical case. This report describes a clinical case and reviews the limited literature on this pathology, aiming to provide a summary of available information and improve early intervention and prognosis.

Keywords: Lens subluxation, glaucoma, cataract, vitrectomy

Article Details

How to Cite
CERVERA, Bersayk Saykber Vásquez; VILLACIS, Arkin Bryan; PÉREZ, Irina Suley Tirado. Lens Dislocation and Phacoantigenic Glaucoma Secondary to Ocular Trauma in a 54-Year-Old Male: A Case Report and Literary Review. Medical Research Archives, [S.l.], v. 12, n. 7, july 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5423>. Date accessed: 21 dec. 2024. doi: https://doi.org/10.18103/mra.v12i7.5423.
Section
Review Articles

References

1. Vicente Altabás MJ, Vicente Altabás MA, Arias-Peso B. Traumatic luxation of crystalline lens. Visual Journal of Emergency Medicine. 2021;25:101119. Doi:10.1016/j.visj.2021.101119
2. González-Castaño C, Castro J, Álvarez-Sánchez M. Luxación del cristalino: etiología y resultados. Arch Soc Esp Oftalmol. 2006;81(8). Doi:10.4321/S0365-66912006000800008
3. Monera Lucas CE, Escolano Serrano J, Romero Valero D, Navarro Navarro A, Martínez Toldos JJ. Posterior bilateral lens luxation in an agitated patient: Cause or consequence? Archivos de la Sociedad Española de Oftalmología (English Edition). 2021;96(2):93-96. Doi:10.1016/j.oftale.2020.07.015
4. Simon MA, Origlieri CA, Dinallo AM, Forbes BJ, Wagner RS, Guo S. New Management Strategies for Ectopia Lentis. J Pediatr Ophthalmol Strabismus. 2015;52(5):269-281. Doi:10.3928/01913913-20150714-02
5. Kelly Laurenti, Ingrid U. Scott, Sarwat Salim, MD, FACS, Sharon Fekrat. Lens-Induced Glaucoma: Diagnosis and Management. EyeNet Magazine. Published online October 2016:2.
6. Margarita Arbaje Khoury, Felipe Tonatiuh Mata-Cárdenas, Joaquín Flores-Rivera, Felipe Mata-Flores, Magdalena García-Huerta, Ricardo Iván Mata-Hofmann et al. Glaucoma en latinoamérica Tomo 6. Vol Tomo 6. Ophia; 2021.
7. Thach AB, Marak GE, McLean IW, Green WR. Phacoanaphylactic endophthalmitis: a clinicopathologic review. Int Ophthalmol. 1991;15(4):271-279. Doi:10.1007/BF00171031
8. Grzybowski A. John Taylor and Johann Sebastian Bach – more information still needed. Acta Ophthalmologica. 2013;91(3). Doi:10.1111/aos.12036
9. Tarkkanen A. Blindness of Johann Sebastian Bach. Acta Ophthalmologica. 2013;91(2):191-192. Doi:10.1111/j.1755-3768.2011.02366.x
10. Rua DP Dominika; Pleyer, Uwe. Sympathetic Ophthalmia – a Contribution to Immunology, Clinic and Current Imaging. Klin Monbl Augenheilkd. 2020;237(09):1060-1069. Doi:10.1055/a-1245-4373
11. Chen MF, Kim CH, Coleman AL. Cyclodestructive procedures for refractory glaucoma. Cochrane Eyes and Vision Group, ed. Cochrane Database of Systematic Reviews. 2019;2019(3). Doi:10.1002/14651858.CD012223.pub2
12. Castro G, Alejandra G, Padilla DP, Alberto C. ANÁLISIS DE CASO CLÍNICO SOBRE: “GLAUCOMA FACOGÉNICO.”
13. Georgalas I. Lens-induced glaucoma in the elderly. CIA. Published online July 2009:331. Doi:10.2147/CIA.S6485
14. Chiu AKC, Mathews D. Phaco-antigenic glaucoma following uncomplicated cataract surgery. European Journal of Ophthalmology. 2019;29(1_suppl):22-26. Doi:10.1177/1120672119858875
15. Perlman EM, Albert DM. Clinically Unsuspected Phacoanaphylaxis After Ocular Trauma. Archives of Ophthalmology. 1977;95(2):244-246. Doi:10.1001/archopht.1977.04450020045008
16. Zhang J, Min S, Zhang X, Jia Z. A case report of Uveitis complicated with phacoanaphylactic endophthalmitis. Asian Journal of Surgery. Published online April 2024:S1015958424006183. Doi:10.1016/j.asjsur.2024.03.191