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.
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Ophthalmic Surg Lasers Imaging Retina
2024;55:XX–XX.]