TRAUMATIC PHACOCELE IN 55 YEARS OLD WOMAN FROM CHENNAI, INDIA

Darshan Bhatt; Balasubramanian Chandrasekaran

doi:10.46903/gjms/20.02.1053

TRAUMATIC PHACOCELE IN 55 YEARS OLD WOMAN FROM CHENNAI, INDIA

Darshan Bhatt, Balasubramanian Chandrasekaran

Abstract

A 55-years-old woman presented with profound sudden loss of vision in left eye (LE) after an injury in a road side accident. She had normal right eye. Left eye had perception of light (PL) with accurate projection of light (PR) in all quadrants, total hyphema, chemosis in supero-nasal conjunctiva and normal intraocular pressure (IOP). B-scan of LE showed extrusion of the lens into the supero-nasal subconjunctival space called phacocele, and vitreous hemorrhage. Wound exploration was done with removal of expelled lens and the scleral wound was sutured with 6/0 vicryl, followed by 25G pars plana vitrectomy with fluid gas exchange. Secondary IOL implantation is planned in next visit.

Keywords

Visual Acuity; Hyphema; Conjunctiva; Vitreous Hemorrhage; Blunt Trauma; Ophthalmoscopy; Retina

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References

Cherry PM. Indirect traumatic rupture of the globe. Arch Ophthalmol 1978 Feb;96(2):252-6. http://dx.doi.org/10.1136/bcr-2020-237014

Bhattacharjee K, Bhattacharjee H, Deka A, Bhattacharyya P. Traumatic phacocele: review of eight cases. Indian J Ophthalmol 2007 Nov-Dec;55(6):466-8. http://dx.doi.org/10.1136/bcr-2018-226957

Stoller GL, Barone R, Fisher YL. Traumatic dislocation of the lens into posterior Tenon’s space. Retina 1997;17:557-8.

Allen RC, Gupta RR, Poblete R, Oetting TA. Traumatic phacocele. J Cataract Refract Surg 2001 Aug;27(8):1333-4. http://dx.doi.org/10.1016/s0886-3350(00)00760-4

Fejer J. Subconjunctival lens dislocation. Am J Ophthalmol 1928;11:354-6.

Mcdonald PR, Purnell JE. The dislocated lens. J Am Med Assoc 1951;145:220‑6.

Sindal MD, Mourya D. A rare case of traumatic posterior phacocele with retinal detachment. Indian J Ophthalmol 2016;64:89-90.

Bhupally AK, Sindu SC, Swathi M, Rohini M, Shruthi T. Ocular trauma. International J Res Med Sci 2015;3:3714-19.

Chaniyara MH, Rathi A, Pujari A, Urkude JS. Traumatic phacocele: a rare but unique scenario. BMJ Case Rep. 2017 May 22;2017:bcr2017220755.

Yurdakul NS, Uğurlu S, Yilmaz A, Maden A. Traumatic subconjunctival crystalline lens dislocation. J Cataract Refract Surg. 2003 Dec;29(12):2407-10.

Goel N. Displacement of crystalline lens into the sub-conjunctival space following periocular anesthesia. Saudi J Ophthalmol 2018 Jul-Sep;32(3):257-260.

DOI: https://doi.org/10.46903/gjms/20.02.1053