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Ophthalmologist, ocular surgeon

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

Alexey Portnov, medical expert
Last reviewed: 23.04.2024

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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

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