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Related Experiment Videos

Traumatic phacocele.

R C Allen1, R R Gupta, R Poblete

  • 1Department of Ophthalmology and Visual Sciences, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.

Journal of Cataract and Refractive Surgery
|August 29, 2001
PubMed
Summary
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A rare case of traumatic phacocele, or subconjunctival lens dislocation, occurred in a 42-year-old patient with a history of congenital glaucoma. This condition followed blunt eye trauma, highlighting a rare complication years after infant goniotomy surgery.

Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Glaucoma Research

Background:

  • Congenital glaucoma is a rare condition requiring early intervention.
  • Goniotomy is a surgical procedure to treat congenital glaucoma.
  • Long-term ocular health after goniotomy can be complex.

Observation:

  • A 42-year-old patient with a history of congenital glaucoma and bilateral goniotomies presented with eye discomfort after blunt trauma.
  • The patient's left eye had pre-existing poor vision and inadequately controlled intraocular pressure.
  • The primary complaint was related to trauma, not pre-existing glaucoma symptoms.

Findings:

  • The patient was diagnosed with a traumatic phacocele, a subconjunctival dislocation of the crystalline lens.
  • This rare complication occurred decades after the initial goniotomy surgery.

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  • Blunt trauma was identified as the direct cause of the lens dislocation.

    • Implications:

    • This case highlights the potential for late complications following early-life ocular surgery.
    • Traumatic phacocele can occur in patients with a history of glaucoma surgery, even years later.
    • Understanding risk factors for lens dislocation after trauma in complex ocular histories is crucial for ophthalmologists.