Fluid accumulation in Berger’s space in a patient with phacolytic glaucoma: A case report

Abstract

Leakage of the cortical fluid behind the lens through the posterior capsule into the space between the capsule and anterior hyaloid, called as hyaloido-capsular space or Berger’s space, is a rare phenomenon that can occur in phacolytic glaucoma. It is difficult to note the retrolental fluid preoperatively due to anterior chamber flare and white hard cataract and is often first seen intraoperatively. The visual outcome in such patients is suboptimal in immediate postoperative period despite uneventful cataract surgery. We present a case of retrolental fluid accumulation in a patient of phacolytic glaucoma and Morgagnian cataract with good visual gain at 1-month post-cataract extraction with intense steroid therapy. We would like to highlight the importance of conservative management in such cases with no intraoperative intervention for the retrolental fluid.