Abstract

A middle aged lady was evaluated for sudden onset pain, redness and diminished vision in
her left eye. Examination revealed anterior chamber intraocular lens with features of acute raised intraocular pressure and a
posterior dislocated hypermature cataractous lens which apparently left unaddressed for 2 ½
decades. She was on low dose oral steroids for more than 10 years for joint pains with no follow up with the physician. After aggressive temporary IOP lowering measures and control of inflammation she underwent surgical removal of dislocated lens following which, the pressures
were normalised. H/o spontaneous dislocation of lens was noted among her family members.
This case highlights delayed onset phacolytic glaucoma secondary to
unattended dislocated crystalline lens in the vitreous. The case also highlights the importance of
prompt addressal of such acute events which will have a good prognosis despite having a long standing
history of a posterior dislocated lens.