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Phacogenic open-angle glaucoma: causes, symptoms, diagnosis, treatment

 
, medical expert
Last reviewed: 20.11.2021
 
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To phacogenic open-angle glaucomas include three different diagnoses with similar clinical symptoms. Facial glaucoma, glaucoma lens masses and phacogenous uveitis (FGU) develop with intraocular inflammation, an abnormal lens and with increased intraocular pressure, but in the future, as a rule, hypotension develops. Differentiation of these three pathologies requires careful examination and understanding of the mechanisms that determine the development of each disease.

Clinical manifestations of phacogenic open-angle glaucomas

Glaucoma lens of the masses

Faciolitic glaucoma

Phacogenic open-angle glaucoma

Mechanism

The lens material blocks the TC

VMB of the lens block TS

Violation of immune tolerance

Intraocular pressure

Increased

Increased

Reduced or increased

Gonioscopy

Open angle

Open angle

Open angle

Lens Crystal Condition

Rupture of the capsule lens with the release of lens masses

Mature or overripe cataract

Rupture of the capsule of the lens; emergence of large fragments of the lens

Treatment

Antiglaucomatous treatment, glucocorticoids, surgical removal of lens masses

Antiglaucomatous treatment, topical glucocorticoids, cataract extraction

Antiglaucomatous treatment, topical glucocorticoids, removal of lens fragments

trusted-source[1], [2], [3], [4], [5], [6], [7], [8]

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