Workup
Histologic Findings
Although light microscopy showed an intact anterior capsule, scanning electron microscopic showed disruption of the anterior capsule in a case of phacolytic glaucoma. [15]
In questionable cases, a diagnostic paracentesis should show characteristic swollen macrophages with engulfed lens material on phase contrast microscopy.
See the images below.


Media Gallery
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Microscopy of the aspirate at the time of cataract extraction shows clumped, notched rectangular platelike crystals from the aqueous of a patient with phacolytic glaucoma (X160). Reproduced from J Korean Ophthalmol Soc 2000 Sep;41(9): Copyright © 2000, Korean Ophthalmological Society. All rights reserved.
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Microscopy of the aspirate at the time of cataract extraction of a patient with phacolytic glaucoma shows round, regular cells with foamy cytoplasm consistent with macrophages (*). A leukocyte (white arrow) and an erythrocyte (black arrow) also are seen (X160). Reproduced from J Korean Ophthalmol Soc 2000 Sep;41(9): Copyright © 2000, Korean Ophthalmological Society. All rights reserved.
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