{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:12:01Z","timestamp":1787019121351,"version":"build-2736575974"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T00:00:00Z","timestamp":1712793600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report a case of phacolytic glaucoma with atypical presentation in a patient which was diagnosed with biometry swept source optical coherence tomography (SS-OCT) and anterior segment spectral domain OCT (SD-OCT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 56-year-old male with a history of cytomegalovirus (CMV) chronic anterior uveitis in the right eye presented with a white cataract, minimal anterior chamber reaction and intraocular pressure (IOP) of 56\u2005mmHg. Visual acuity was light perception. The anterior chamber was deep, without evidence of macroscopically visible capsular rupture. A surgical intervention was necessitated with the puzzle being whether to proceed with a trabeculectomy or a combined phaco-trabeculectomy. After a routine preoperative assessment with intraocular lens Master700, the disintegration of the natural lens was noticed. Anterior segment Spectralis OCT confirmed a lamellar separation of the anterior one third of the lens, resembling a poultaceous material. After an uneventful phacoemulsification, visual acuity was 6\/6, IOP was well-controlled on maximum topical antiglaucoma treatment and no CMV recurrence was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The diagnosis of phacolytic glaucoma was established with the aid of current imaging OCT systems. Both OCT images were suggestive of a phacolytic nature of our case, despite the fact that the clinical presentation was not in concordance with such a typical case. In view of our findings the decision was to proceed with cataract extraction alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first time that we image and document the phacolytic nature of a natural lens. Our patient did not have the typical clinical presentation and was differentially diagnosed with biometry SS-OCT and confirmed by anterior segment SD-OCT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721241246816","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T04:05:11Z","timestamp":1712808311000},"page":"NP29-NP32","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Atypical phacolytic glaucoma diagnosed by biometry and anterior segment optical coherence tomography (OCT)  in a patient with CMV anterior uveitis"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4091-9236","authenticated-orcid":false,"given":"Efthymios","family":"Karmiris","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, 251 Hellenic Airforce General Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evangelia","family":"Papakonstantinou","sequence":"additional","affiliation":[{"name":"First Department of Ophthalmology, National and Kapodistrian University of Athens, General Hospital \u201cG. Gennimatas\u201d, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7620-2068","authenticated-orcid":false,"given":"Konstantinos","family":"Tsiripidis","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, 251 Hellenic Airforce General Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0570-6438","authenticated-orcid":false,"given":"Panagiotis","family":"Stavrakas","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, School of Medicine, University of Patras, Patras, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Giannakis","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, 251 Hellenic Airforce General Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7552-9406","authenticated-orcid":false,"given":"Evangelia","family":"Chalkiadaki","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, 251 Hellenic Airforce General Hospital, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,11]]},"reference":[{"key":"bibr1-11206721241246816","unstructured":"Yanoff M, Duker JS. 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Elsevier Saunders, 2014, pp.1088\u20131089."},{"key":"bibr2-11206721241246816","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0b013e31820d7d2e"},{"key":"bibr3-11206721241246816","first-page":"774640","volume":"8","author":"Ze-Xu C","journal-title":"Front Med (Lausanne)"},{"key":"bibr4-11206721241246816","doi-asserted-by":"publisher","DOI":"10.1364\/BOE.4.001595"},{"key":"bibr5-11206721241246816","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2015-307779"},{"key":"bibr6-11206721241246816","doi-asserted-by":"publisher","DOI":"10.1097\/ICU.0b013e32834be021"},{"key":"bibr7-11206721241246816","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(79)90410-0"},{"key":"bibr8-11206721241246816","doi-asserted-by":"publisher","DOI":"10.1117\/1.2773728"},{"key":"bibr9-11206721241246816","first-page":"2151","volume":"40","author":"van den Berg TJ","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"bibr10-11206721241246816","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2013-303904"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721241246816","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11206721241246816","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11206721241246816","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:46:19Z","timestamp":1777405579000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11206721241246816"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,11]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1177\/11206721241246816"],"URL":"https:\/\/doi.org\/10.1177\/11206721241246816","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,11]]}}}