In-Office Lens Repositioning for Anterior Crystalline Lens Dislocation

Abstract

Background and Objective: We describe an in-office lens repositioning technique for anterior crystalline lens dislocation. Patients and Methods: We present a case series of four patients with spontaneous or traumatic anterior crystalline lens dislocation. Results: The technique included supine patient positioning, gentle pressure with a cotton swab on the peripheral cornea to guide the lens into the posterior chamber, and the use of a miotic agent afterward to prevent subsequent subluxation. In the four cases described, the in-office technique successfully restored the lens to the posterior chamber, improved vision, and decreased intraocular pressure in most instances by resolving the angle closure secondary to pupillary block. Conclusions: The in-office lens repositioning technique is appropriate as an acute non-surgical intervention or temporizing measure for anterior crystalline lens dislocation. [ Ophthalmic Surg Lasers Imaging Retina 2024;55:XX–XX.]