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 Table of Contents  
OPHTHALMIC IMAGES
Year : 2020  |  Volume : 58  |  Issue : 3  |  Page : 212

Ultra-widefield image of traumatic dislocated lens in the vitreous cavity


1 Department of Glaucoma, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India
2 Department of Retina and Vitreoretinal Surgery, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India

Date of Submission14-May-2020
Date of Acceptance14-May-2020
Date of Web Publication14-Sep-2020

Correspondence Address:
Dr. Vijayalakshmi A Senthilkumar
Department of Glaucoma, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_54_20

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How to cite this article:
Pradhan C, Senthilkumar VA, Mishra C. Ultra-widefield image of traumatic dislocated lens in the vitreous cavity. TNOA J Ophthalmic Sci Res 2020;58:212

How to cite this URL:
Pradhan C, Senthilkumar VA, Mishra C. Ultra-widefield image of traumatic dislocated lens in the vitreous cavity. TNOA J Ophthalmic Sci Res [serial online] 2020 [cited 2020 Oct 25];58:212. Available from: https://www.tnoajosr.com/text.asp?2020/58/3/212/294997



A 45-year-old male rushed to us after he noticed a sudden drop in vision in the right eye (RE) since 4 h after he sustained a blunt injury to his RE with a cricket ball. His best-corrected visual acuity (BCVA) in the RE was hand movements with +10D correction improving to 6/36. Ocular examination of the RE revealed clear corneas, mild iritis, sluggishly reacting pupil with aphakia. Wide-angle fundus photography RE revealed posteriorly dislocated lens in vitreous cavity [Figure 1]. The patient underwent pars plana vitrectomy and pars plana lensectomy with scleral fixated intraocular lens implantation. At 1-month follow-up visit, his BCVA in the RE was 6/12. Blunt injury to the eye may lead to sudden compressive deformation of the globe causing transient shortening of globe anteroposteriorly with compensatory equatorial expansion which in turn can disrupt zonular fibers and dislocate the lens posteriorly.[1],[2],[3] Wide-angle fundus photography helps in patient counseling to explain the prognosis.
Figure 1: Wide-angle fundus photography (Optos-Daytona) of the right eye showing posteriorly dislocated lens in the vitreous cavity

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Marcus DM, Topping TM Jr., Frederick AR. Vitreoretinal management of traumatic dislocation crystalline lens. Int Ophthalmol Clin 1995;35:139-50.  Back to cited text no. 1
    
2.
Wang HE, Ger DS, Gould SW. Diagnosis of traumatic lens dislocations. J Emerg Med 2000;19:73-4.  Back to cited text no. 2
    
3.
Salehi-Had H, Turalba A. Management of traumatic crystalline lens subluxation and dislocation. Int Ophthalmol Clin 2010;50:167-79.  Back to cited text no. 3
    


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