Abstract
A 72-year-old woman presented with redness and swelling in the left eye. She had a traffic accident one month ago. Her best-corrected visual acuity was hand movement level in the left eye. Slit-lamp examination revealed hyphemia, scleral perforation and subconjunctival dislocation of intraocular lens. Pars plana vitrectomy was performed for hyphemia and intraocular lens extracted from subconjunctival area. Patient didn’t want seconder intraocular lens implantation and followed as aphakic. As a result, in patients with pseudophakia, intraocular lens may replace under conjunctiva after blunt traumas to the eye.
Keywords
References
- Foster JA, Lam S, Joondeph BC, Sugar J. Suprachoroidal dislocation of a posterior chamber intraocular lens. Am J Ophthalmol 1990; 109 (6): 731‐2.
- Assia EI, Blotnick CA, Powers TP, Legler UF, Apple DJ. Clinicopathologic study of ocular trauma in eyes with intraocular lenses. Am J Ophthalmol 1994; 117 (1): 30‐6.
- Bene C, Kranias G. Subconjunctival dislocation of a posterior chamber intraocular lens. Am J Ophthalmol 1985; 99 (1): 85‐6.
- Mandal AK, Anand R. Traumatic pseudophacocele. Indian J Ophthalmol 2003; 51 (2): 177‐8.
- Chandravanshi SL, Dwivedi A, Tirkey ER, Choudhary P. Golden half ring sign for identification of pseudophacocele. Indian J Ophthalmol 2015; 63 (3): 259‐61.
- Biedner B, Rothkoff L, Blumenthal M. Subconjunctival dislocation of intraocular lens implant. Am J Ophthalmol 1977; 84 (2): 265‐6.
- Kumar A, Nainiwal SK, Dada T, Ray M. Subconjunctival dislocation of an anterior chamber intraocular lens. Ophthalmic Surg Lasers 2002; 33 (4): 319‐20.
- Bhattacharjee K, Bhattacharjee H, Deka A , Bhattacharyya P. Traumatic phacocele: Review of eight cases Indian J Ophthalmol. 2007; 55 (6): 466–8.
- Mohan A, Kaur N , Sharma V. Inferior subconjunctival dislocation of posterior chamber intraocular lens after blunt trauma Indian J Ophthalmol. 2017; 65 (6): 521–3.
Abstract
72 yaşında kadın hasta sol gözde kızarıklık ve şişlik nedeniyle kliniğimize başvurdu. Hastanın öyküsünde yaklaşık 1 ay önce araç dışı trafik kazası geçirdiği öğrenildi. Düzeltilmiş en iyi görme keskinliği sol gözde el hareketi düzeyinde idi. Biyomikroskobik muayenede hifema, skleral perforasyon hattı ve göz içi lensin üst subkonjonktival alanda olduğu görüldü. Hastanın intravitreal hemorajisinin olması nedeniyle hastaya sol pars plana vitrektomi ve göz içi lensinin subkonjonktival alandan çıkarılması ameliyatı yapıldı. Olgumuz başka bir operasyon istemediğinden afak olarak takip edildi. Pseudofakik hastalarda oküler künt travmalar sonrası göz içi lensinin konjonktiva altına yer değiştirebileceği akılda tutulmalıdır.
Keywords
References
- Foster JA, Lam S, Joondeph BC, Sugar J. Suprachoroidal dislocation of a posterior chamber intraocular lens. Am J Ophthalmol 1990; 109 (6): 731‐2.
- Assia EI, Blotnick CA, Powers TP, Legler UF, Apple DJ. Clinicopathologic study of ocular trauma in eyes with intraocular lenses. Am J Ophthalmol 1994; 117 (1): 30‐6.
- Bene C, Kranias G. Subconjunctival dislocation of a posterior chamber intraocular lens. Am J Ophthalmol 1985; 99 (1): 85‐6.
- Mandal AK, Anand R. Traumatic pseudophacocele. Indian J Ophthalmol 2003; 51 (2): 177‐8.
- Chandravanshi SL, Dwivedi A, Tirkey ER, Choudhary P. Golden half ring sign for identification of pseudophacocele. Indian J Ophthalmol 2015; 63 (3): 259‐61.
- Biedner B, Rothkoff L, Blumenthal M. Subconjunctival dislocation of intraocular lens implant. Am J Ophthalmol 1977; 84 (2): 265‐6.
- Kumar A, Nainiwal SK, Dada T, Ray M. Subconjunctival dislocation of an anterior chamber intraocular lens. Ophthalmic Surg Lasers 2002; 33 (4): 319‐20.
- Bhattacharjee K, Bhattacharjee H, Deka A , Bhattacharyya P. Traumatic phacocele: Review of eight cases Indian J Ophthalmol. 2007; 55 (6): 466–8.
- Mohan A, Kaur N , Sharma V. Inferior subconjunctival dislocation of posterior chamber intraocular lens after blunt trauma Indian J Ophthalmol. 2017; 65 (6): 521–3.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 13, 2020 |
| Submission Date | November 21, 2018 |
| Published in Issue | Year 2020 |