Post-traumatic lens absorption with an intact lens capsule.
Ashley Gao1, Alisha Kamboj2, Amanda C Maltry2
1University of Minnesota Medical School, Minneapolis, Minnesota.
Digital Journal of Ophthalmology : DJO
|July 4, 2024
Summary
A paintball injury caused unilateral vision loss due to traumatic lens absorption. Surgical repair led to significant visual and alignment improvements, even years later.
Area of Science:
- Ophthalmology
- Traumatic eye injury
- Lens absorption
Background:
- A 29-year-old man experienced prolonged unilateral vision loss following a remote paintball eye injury.
- The patient presented with a stable sensory exotropia and signs of severe ocular trauma.
Observation:
- Examination revealed posterior synechiae, residual white lenticular material within an intact capsule, and significant zonular compromise.
- The majority of the nuclear lens material was absent, consistent with post-traumatic lens absorption.
Findings:
- The patient underwent surgical repair including synechialysis, capsulotomy, remnant lens excision, and sulcus lens placement.
- Post-operative outcomes included significant improvement in visual acuity and ocular alignment.
- A unique finding was the identification of a Soemmering's ring in an absorbed lens with an intact capsule.
Implications:
- This case demonstrates successful refractive and sensorimotor outcomes after delayed surgical intervention for traumatic lens absorption.
- It highlights the importance of surgical repair for visual rehabilitation even years after the initial injury.
- The presence of a Soemmering's ring in this context offers insights into the pathophysiology of lens absorption following trauma.
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