University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds Photo Quiz #4

Compiled by Justin Risma, MD



Angle closure glaucoma


Q26: What is the diagnosis and its pathophysiology?

A26: Morgagnian cataract, which is an advanced cortical cataract in which the cortex liquefies and the nucleus is thus freely mobile within the capsular bag.

Q27: What techniques may be useful during surgery?

A27: Trypan - visualization
Two-step rhexis - aspirate liquefied cortex first
Visco-shell - cohesive OVD around nucleus during phaco
Phaco chop instead of divide and conquer

EyeRounds Case
See related atlas entry
last updated: 08/03/2015
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