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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
HERNANDEZ-GUZMAN, Claudio E. and MENDOZA-VELASQUEZ, Cristina. Atypical morgagnian cataract. Case report. Cir. cir. [online]. 2022, vol.90, n.3, pp.414-418. Epub June 06, 2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.20001260.
Objective:
Describe an atypical case of a morgagnian cataract with diffusion of cortical material through the intact posterior capsule.
Clinical case:
50-year-old male, with 24 hours of evolution, referring pain, photophobia, and seven year history of visual loss. Intraocular pressure of 36 mmHg, opaque cornea, anterior chamber with a whitish material, liquefied crystalline cortex. Ultrasound: intact posterior capsule, retrolental hyperechogenic material. He required maximum hypotensive treatment indicated, phacoemulsification and trabeculectomy. Retrolental material was found, with a posterior capsulotomy, through cut/aspiration with vitrector.
Conclusions:
Diffusion of cortical material towards Berger’s space is rare, it is necessary to recognize for surgical approach.
Keywords : Morgagnian cataract; Phacolytic glaucoma; Retrolental opacity; Anterior segment.
