{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T00:27:14Z","timestamp":1794443234165,"version":"4.9.1"},"reference-count":13,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,28]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Phacolytic glaucoma (PLG) is a rare complication of hypermature senile cataract. Delayed presentation of PLG may make its diagnosis and management difficult and worsen its prognosis. A woman aged 75\u2009years complaining of sleep disturbing pain and inaccurate projection of rays oculus dextrus (OD) was referred to our centre for management of non-resolving microbial keratitis with endophthalmitis. Ultrasound biomicroscopy revealed 360\u00b0 peripheral anterior synechiae, swollen crystalline lens and hyperechoic granules filling anterior chamber. A diagnosis of PLG and lens-induced uveitis was made and cataract was extracted after control of intraocular pressure (IOP). The patient was left aphakic. There was complete resolution of pain after surgery and at 3\u2009months follow-up the IOP was controlled without any antiglaucoma medications. Rarely, secondary corneal opacification from long-standing pathological changes in PLG may mimic non-resolving microbial keratitis with endophthalmitis and requires a high index of suspicion for appropriate diagnosis and management.<\/jats:p>","DOI":"10.1136\/bcr-2019-231616","type":"journal-article","created":{"date-parts":[[2019,9,16]],"date-time":"2019-09-16T21:06:33Z","timestamp":1568667993000},"page":"e231616","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Rare atypical presentation of phacolytic glaucoma as non-resolving microbial keratitis with endophthalmitis"],"prefix":"10.1136","volume":"12","author":[{"given":"Rinky","family":"Agarwal","sequence":"first","affiliation":[{"name":"Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manasi","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuja","family":"Patil","sequence":"additional","affiliation":[{"name":"Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namrata","family":"Sharma","sequence":"additional","affiliation":[{"name":"Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,9,16]]},"reference":[{"key":"2025082722430510000_12.9.e231616.1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1955.00930020039006"},{"key":"2025082722430510000_12.9.e231616.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0014-4835(62)80018-9"},{"key":"2025082722430510000_12.9.e231616.3","first-page":"398","article-title":"Identification of heavy-molecular-weight soluble protein in aqueous humor in human phacolytic glaucoma","volume":"17","author":"Epstein","year":"1978","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"2025082722430510000_12.9.e231616.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(82)34802-2"},{"key":"2025082722430510000_12.9.e231616.5","doi-asserted-by":"crossref","first-page":"56","DOI":"10.4103\/1858-6538.172097","article-title":"Study of the incidence, mechanism, various modes of presentation and factors responsible for the development of lens-induced glaucomas","volume":"3","author":"Gujjula","year":"2015","journal-title":"Albasar Int J Ophthalmol"},{"key":"2025082722430510000_12.9.e231616.6","first-page":"3","article-title":"Diagnosing and managing microbial keratitis","volume":"28","author":"Upadhyay","year":"2015","journal-title":"Community Eye Health"},{"key":"2025082722430510000_12.9.e231616.7","unstructured":"Allingham RR , Damji K , Freedman S , et al . chapter 18 Glaucomas associated with disorders of the Lens. Sheilds\u2019 Textbook of Glaucoma. 5th edn. 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