A case of phacolysis with spontaneous absorption

Purpose: To report a case of resolution of lens cortex without signs of inflammation. Case: A 62-year-old female was referred to us under the diagnosis of Wegener granulomatosis. Findings: Corrected visual acuity was 1.0 right and counting fingers left. Intraocular pressure was within normal range in either eye. The left eye showed absence of lens cortex with intact lens capsule and brownish discolored nucleus. No sign of inflammation was present in the anterior chamber. The left eye was treated by phacoemulsification and aspiration, dissection of lens capsule, and out-of-the-bag fixation of intraocular lens. No abnormal findings present in the fundus. The left eye achieved visual acuity of 0.6 six months later. Conclusion: Fair outcome was achieved after surgery in an eye with silent phacolysis.