Case of bilateral complete posterior dislocation of lens caused by elder abuse

Abstract

We report a case of bilateral complete dislocation of lenses into the vitreous cavities due to elder abuse in a patient with senile dementia. According to the patient’s son, bilateral complete lens dislocation occurred after he hit his father in the head with socks in order to control his violent behavior. Although the patient was taken to our ophthalmological ward for a planned vitrectomy, restlessness and inability to remain in his room during the night led to his leaving the hospital. The patient has not returned but did receive a vitrectomy at another clinic. While the number of patients with senile dementia has dramatically increased, no specific remedy is currently available. When treating medical concerns of seniors with unknown backgrounds, elder abuse needs to be considered as a potential cause of such injuries.

Case Series of Lens Dislocation due to Family Violence

“…There are many reports showing that males are more common in IOL dislocation cases in general [1,3,4]. When combined with this study and the previous reports, family violence-related IOL or lens dislocation cases were 1 male and 4 females [5,6]. It is noteworthy that family violence-related IOL dislocation is clearly higher in females.…”

“…On the other hand, there are few reports of lens or IOL dislocation due to family violence [ 5 , 6 ]. Family violence includes domestic violence, child abuse, and elder abuse.…”

Lens Dislocation Due to Family Violence

“…There are many reports that males are more common in IOL dislocation cases [10,4,5,1,7,9]. When combined with this study and the previous reports, family violence-related IOL or lens dislocation cases were 1 male and 4 females [11,12]. It is noteworthy that family violence-related IOL dislocation is clearly higher in females at 80%.…”

“…On the other hand, there are a few reports of lens or IOL dislocation due to family violence [11,12]. Family violence includes domestic violence, child abuse and elder abuse.…”

Bilateral posterior crystalline lens dislocations in an otherwise healthy child

“…A case from Thailand was found to have an anterior lens dislocation that resulted from water splash [ 9 ]. Another case was a physically abused elderly person who suffered a posterior lens dislocation in Japan [ 10 ].…”