Calcific phacolysis.

Journal Article (Journal Article)

BACKGROUND AND METHODS: The authors report the clinical and ocular histopathologic findings in three patients with longstanding unilateral post-traumatic blindness. After one or more decades, acute pain associated with conjunctival hyperemia and apparent keratoprecipitates or a hypopyon developed in the affected eye of each individual. Phacoanaphylaxis was diagnosed preoperatively in two patients. RESULTS: Calcified granular lens fragments were dispersed throughout all three eyes. The anterior chamber in all patients contained extracellular calcified lens particles, but only one eye contained conspicuous macrophages. Two eyes showed elevated intraocular pressure (IOP), and in one patient calcified particles extended into a glaucomatous optic nerve head. CONCLUSION: To the authors' knowledge, this is the first report describing a rare condition involving the intraocular dispersal of calcified lens particles after disruption of the lens capsule. The authors have designated this entity as calcific phacolysis.

Full Text

Duke Authors

Cited Authors

  • Scroggs, MW; Proia, AD; Charles, NC; Helms, HA; Klintworth, GK

Published Date

  • March 1, 1993

Published In

Volume / Issue

  • 100 / 3

Start / End Page

  • 377 - 383

PubMed ID

  • 8460009

International Standard Serial Number (ISSN)

  • 0161-6420

Digital Object Identifier (DOI)

  • 10.1016/s0161-6420(93)31638-6


  • eng

Conference Location

  • United States