A 34-year-old lawyer is struck in the eye by a golf ball launched by an ophthalmologist. The ophthalmologist rushes the lawyer to his office and examines his eye. A 20% hyphema is present in the anterior chamber. No rupture of the globe is present. The traumatized eye is at risk for developing all of the following types of glaucoma except:
Answer: D. Phacolytic glaucoma
Explanation: Blunt trauma may produce angle recession glaucoma, a form of secondary open-angle glaucoma. The contusion and hyphema can eventually cause the formation of peripheral anterior synechiae, with the development of chronic angle-closure glaucoma. Phacolytic glaucoma develops from the obstruction of the trabecular meshwork by macrophages laden with lens material leaking from a mature lens.