Traumatic subconjunctival crystalline lens dislocation

• Published in: Journal of cataract and refractive surgery Vol. 29; no. 12; pp. 2407 - 2410
• Main Authors: Yurdakul, Nazife Sefi, Uğurlu, Şeyda, Yilmaz, Ayça, Maden, Ahmet
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.12.2003; Elsevier Science
• Subjects: Aged; Biological and medical sciences; Conjunctiva - injuries; Eye Injuries - complications; Female; Humans; Hyphema - etiology; Lens diseases; Lens Subluxation - etiology; Lens Subluxation - surgery; Male; Medical sciences; Middle Aged; Ophthalmology; Optic Nerve Diseases - etiology; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the eye and orbit; Visual Acuity; Vitreous Hemorrhage - etiology; Wounds, Nonpenetrating - complications; Lens; Luxation; Treatment; Ophthalmology; Trauma; Surgery
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1016/S0886-3350(03)00332-8

Purpose: To evaluate the clinical features and visual outcomes in patients with traumatic subconjunctival crystalline lens dislocation. Setting: Izmir Atatürk Education and Research Hospital, Department of Ophthalmology, Izmir, Turkey. Methods: The clinical records of 5 patients with subconjunctival crystalline lens dislocation secondary to blunt trauma were reviewed. Results: The median age of 3 women and 2 men was 63 years (range 62 to 73 years). The lenses were dislocated to the superior (n = 1), temporal (n = 1), superotemporal (n = 1), and superonasal (n = 2) quadrants. All patients had various degrees of hyphema and vitreous hemorrhage. One patient had traumatic optic neuropathy. Visual acuity improved in all patients after lens removal and scleral rupture repair. Conclusion: With timely intervention, the visual outcome was reasonably good in patients with subconjunctival dislocation of the crystalline lens.