LAUSR

Phacolytic glaucoma (PLG) is a rare type of lens-induced glaucoma that occurs secondary to blockage of the trabecular meshwork from leaked lens proteins through capsular microruptures in a hypermature senile cataract. It is more commonly encountered in elderly females, who usually have good vision and/or are pseudophakic in the other eye leading to a delay in seeking treatment for cataract in the affected eye. This may not only worsen their visual prognosis but also necessitate more destructive methods of pain relief, potentially culminating in surgical removal of the eye. In developing countries such as India, particularly in rural or lower socio-economic areas, other barriers such as a lack of awareness about the late stages of cataractogenesis and an absence of adequate facilities may also contribute to a delay in seeking primary ophthalmic care. This case series discusses four cases of advanced PLG in contralateral pseudophakes with a similar clinical presentation of a painful blind eye following a delay in seeking ophthalmic care after the onset of signs and symptoms.