This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Glaucoma, Subject name: Ophthalmology
[{'content': 'True about phacolytic glaucoma \nSelect and explain. \nA. Secondary open angle glaucoma, B. Lens protein induced, C. Occurs in hypermature cataracts, D. All of the above', 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. d (All of the above) (Ref. Basak's ophthalmology 2nd ed., 168, 207)PHACOLYTIC GLAUCOMA# This is acute glaucoma in eyes with mature or hypermature cataracts.# Denatured lens protein passes through the intact capsule into the anterior chamber and is phagocytized.# The trabecular meshwork becomes congested with protein-binding macrophages and the protein itself.# Prompt cataract extraction not only restores visual acuity but also prevents dev of phacolytic glaucoma.# When the lens capsule becomes permeable for liquified lens substances, it will lose volume due to leakage.# The capsule will become wrinkled.# Escaping lens proteins will cause intraocular irritation and attract macrophages, causing congestion of trabecular network (phacolytic glaucoma).", 'role': 'assistant'}]