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 Table of Contents  
OPHTHALMIC IMAGES
Year : 2021  |  Volume : 59  |  Issue : 2  |  Page : 224

Blunt trauma induced serpentiform retinal detachment and dislocated lens


Department of Glaucoma, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India

Date of Submission10-Jan-2021
Date of Acceptance01-Apr-2021
Date of Web Publication24-Jun-2021

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_1_21

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How to cite this article:
Senthilkumar VA, Tara TD. Blunt trauma induced serpentiform retinal detachment and dislocated lens. TNOA J Ophthalmic Sci Res 2021;59:224

How to cite this URL:
Senthilkumar VA, Tara TD. Blunt trauma induced serpentiform retinal detachment and dislocated lens. TNOA J Ophthalmic Sci Res [serial online] 2021 [cited 2021 Jul 27];59:224. Available from: https://www.tnoajosr.com/text.asp?2021/59/2/224/319247



A 19-year-old young adult presented with redness, watering, and sudden drop in visual acuity in the right eye (RE) for 2 days. There was a history of blunt injury to RE with cricket ball 2 days back. His best-corrected visual acuity and intraocular pressure in RE were 1/60 (with + 10 D) and 4 mmHg. Anterior segment evaluation revealed lid edema, circumcorneal congestion, Descemet membrane folds, deep anterior chamber, iridodonesis, and aphakia. Ultrasonography B-scan revealed serpentiform-shaped retinal detachment with a posteriorly dislocated lens in RE [Figure 1]a and [Figure 1]b. He was started on systemic antibiotics, steroid eye drops, and cycloplegics. The patient underwent pars plana vitrectomy + pars plana lensectomy with silicone oil injection + fluid air exchange and scleral fixated intraocular lens in RE. At 1-month follow-up visit, his best-corrected visual acuity in RE was 6/12p. Surgery is usually indicated in dislocated lens due to high incidence of delayed complications such as allergic uveitis, leakage of dissolved lens leading to phacolytic glaucoma, and vision loss.[1],[2],[3]
Figure 1: Ultrasonography B-scan images showing. (a) Serpentiform-shaped retinal detachment. (b) 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.
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. 1
    
2.
Marcus DM, Topping TM, Frederick AR Jr. Vitreoretinal management of traumatic dislocation of the crystalline lens. Int Ophthalmol Clin 1995;35:139-50.  Back to cited text no. 2
    
3.
Wang HE, Ger DS, Gould SW. Diagnosis of traumatic lens dislocations. J Emerg Med 2000;19:73-4.  Back to cited text no. 3
    


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