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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

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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.