Glaukomflecken are gray-white epithelial and anterior cortical lens opacities that occur following an episode of markedly elevated IOP, as in acute angle-closure glaucoma (Fig 5-27). On histologic examination, glaukomflecken are composed of necrotic lens epithelial cells and degenerated subepithelial cortex.
Figure 5-26 Phacomorphic glaucoma.
Figure 5-27 Glaukomflecken in the lens of a patient following recovery from acute angle-closure glaucoma.
(Courtesy of Thomas L. Steinemann, MD.)
Excerpted from BCSC 2020-2021 series: Section 11 - Lens and Cataract. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.