Migrated subconjunctival crystalline lens: a traumatic phacocele

Neupane, Swechya; Das, Deepsekhar; Korgaonkar, Saurabh

doi:10.1136/bcr-2020-237014

BMJ Case Rep

2020

DOI: 10.1136/bcr-2020-237014

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Migrated subconjunctival crystalline lens: a traumatic phacocele

Swechya Neupane

Deepsekhar Das

Saurabh Korgaonkar

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Cited by 5 publications

References 10 publications

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Traumatic Posterior Chamber Intraocular Lens Dislocation into the Subconjunctival Space

Lee¹,

Shin²,

Lee³

et al. 2023

J Korean Ophthalmol Soc

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Purpose: Here we report a case of posterior chamber intraocular lens (IOL) dislocation into the subconjunctival space (pesudophacocele) following ocular trauma.Case summary: A 66-year-old male presented with ocular pain and decreased vision in the right eye following trauma with a metallic rod. The patient had a history of trabeculectomy, glaucoma drainage device implantation, transscleral cyclophotocoagulation, and cataract surgery for uveitic glaucoma and a cataract in the right eye. On examination, vision was hand movement, the intraocular pressure was 3 mmHg, and subconjunctival hemorrhage and hyphema were observed. After the resolution of hemorrhage, uveal tissue prolapse was seen nasally behind the corneal limbus and the IOL was found to be dislocated into the nasal subconjunctival space. There were no changes in the filtering bleb and tube compared to the pre-trauma status. The IOL was removed through a conjunctival incision because the patient refused any active treatment.Conclusions: Pesudophacocele developed in a patient who had a history of glaucoma and cataract surgery in the injured eye. The IOL could not be assessed immediately after the trauma because of subconjunctival hemorrhage and hyphema. When the status of IOL is unclear or suspected to be dislocated after trauma, the possibility of pseudophacocele should be considered, in addition to the dislocation into the vitreous cavity.

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Traumatic Posterior Chamber Intraocular Lens Dislocation into the Subconjunctival Space

Lee¹,

Shin²,

Lee³

et al. 2023

J Korean Ophthalmol Soc

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Traumatic anterior phacocele

Agarwal

Tripathi

Agnihotri

2023

Indian Journal of Ophthalmology - Case Reports

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A 72-year-old lady complained sudden-onset loss of vison in the left eye after falling from bed. She was only able to perceive light from the left eye. Anterior segment examination showed a solid subconjunctival mass in the superonasal quadrant adjacent to limbus, suggestive of anterior phacocele. Ultrasound B-scan confirmed the diagnosis, and patient was taken for surgery which led to good visual recovery. Appropriate and timely diagnosis and management of such cases can improve prognosis of such cases.

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Traumatic subconjunctival phacocele – Rare and sui generis

Sharma,

Yadav,

Maurya

et al. 2024

Indian Journal of Ophthalmology - Case Reports

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Blunt trauma to the globe can result in indirect scleral rupture with dislocation of crystalline lens into the subconjunctival or sub-tenon space and is known as phacocele. Here, we report a case of traumatic subconjunctival phacocele with history of blunt trauma to the globe 1 month back. The case presented with a mass in the inferonasal quadrant with no previous history of myopia, ocular surgery, or connective tissue disorder.

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Migrated subconjunctival crystalline lens: a traumatic phacocele

Cited by 5 publications

References 10 publications

Traumatic Posterior Chamber Intraocular Lens Dislocation into the Subconjunctival Space

Traumatic Posterior Chamber Intraocular Lens Dislocation into the Subconjunctival Space

Traumatic anterior phacocele

Traumatic subconjunctival phacocele – Rare and sui generis

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