Spontaneous Anterior Lens Capsular Dehiscence Causing Lens Particle Glaucoma

Abstract

To report acute onset lens particle glaucoma associated with a spontaneous anterior capsular dehiscence. A 66-year-old man presented with spontaneous anterior lens capsule dehiscence with an acute onset of right eye pain that was associated with white particles in the anterior chamber angle and intraocular pressure (IOP) of 55 mmHg. No trauma or other inflammatory antecedents were reported. A hypermature cataract was observed at slit lamp exam. After medical treatment without IOP control, we performed extracapsular cataract extraction and anterior vitrectomy. Anterior chamber aspirate confirmed the presence of macrophages. The postoperative IOP at one month was 16 mmHg OD without medication. Spontaneous dehiscence of the anterior lens capsule in a patient with a hypermature cataract may release lens cortical material, resulting in lens particle glaucoma. Prompt surgical removal of the lens material usually controls the high IOP, and the need for additional glaucoma surgery is not common.

Lens Particle Glaucoma Secondary to Untreated Congenital Cataract and Persistent Fetal Vasculature

“…Lens particle glaucoma is a rare form of lens-induced glaucoma. It has been well described following trauma or cataract surgery in the adult population (1)(2)(3). To our knowledge, this type of glaucoma has not been reported in a child with untreated congenital cataract.…”