Traumatic subconjunctival crystalline lens dislocation

To evaluate the clinical features and visual outcomes in patients with traumatic subconjunctival crystalline lens dislocation.

Izmir Atatürk Education and Research Hospital, Department of Ophthalmology, Izmir, Turkey.

The clinical records of 5 patients with subconjunctival crystalline lens dislocation secondary to blunt trauma were reviewed.

The median age of 3 women and 2 men was 63 years (range 62 to 73 years). The lenses were dislocated to the superior (n = 1), temporal (n = 1), superotemporal (n = 1), and superonasal (n = 2) quadrants. All patients had various degrees of hyphema and vitreous hemorrhage. One patient had traumatic optic neuropathy. Visual acuity improved in all patients after lens removal and scleral rupture repair.

With timely intervention, the visual outcome was reasonably good in patients with subconjunctival dislocation of the crystalline lens.