Abstract

Morgagnian cataract is a hypermature cataract formed with liquefaction of the cortex or of the dense nucleus. In developed countries cataract surgeries are done as soon as it becomes visually disabling. In developing countries, due to late presentation of the patients, morgagnian cataracts are commonly seen. Two cases of hypermature cataract were presented in this paper. Case 1 is Morgagnian cataract and case 2 is Morgagnian cataract with complication: phacolytic glaucoma (PG). The PG was usually caused by hypermature lens, and the principal mechanism was the obstructed trabecular meshwork with the leaky lens capsule proteins. The PG in severe cases is commonly misdiagnosed with endophthalmitis and was therefore refused lens extraction by local eye doctors (district level). In this paper the diagnosis and treatment were discussed, and a procedure was proposed for management PG with satisfying results contributed the better quality of life reported herein.