Ophthalmic ocular hypertension an atypical case

Authors

  • Lialys Santos Díaz Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba.
  • Henry Pérez González Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba
  • Gianina Moreano Amaut Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba
  • Aimara Beades Martínez Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba

Keywords:

INTRAOCULAR PRESSURE, CATARACT, CATARACT EXTRACTION, OPHTHALMOLOGY

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.

 

 

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Author Biographies

Lialys Santos Díaz, Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba.

Médica. Especialista de Primer Grado en Oftalmología. Instructor.

Henry Pérez González, Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba

Médico. Especialista de Segundo Grado en Oftalmología. Profesor Auxiliar. Máster en Educación.

Gianina Moreano Amaut, Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba

Médica.Especialista de Primer Grado en Oftalmología.

Aimara Beades Martínez, Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba

Médica.Especialista de Primer Grado en Oftalmología. Instructor.

References

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Published

2018-05-18

How to Cite

1.
Santos Díaz L, Pérez González H, Moreano Amaut G, Beades Martínez A. Ophthalmic ocular hypertension an atypical case. Rev Ciencias Médicas [Internet]. 2018 May 18 [cited 2025 Sep. 10];22(3):599-605. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/3397

Issue

Vol. 22 No. 3 (2018)

Section

CASE REPORTS

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