Traumatic Subconjunctival Dislocation of the Crystalline Lens and Its Surgical Management

Sathish, Srinivasan; Chakrabarti, Arup; Prajna, Venkatesh

doi:10.3928/1542-8877-19990901-16

Cited by 17 publications

(2 citation statements)

References 6 publications

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“…12 The primary goal in the management of a phacocele is the extraction of the displaced lens and maintenance of globe integrity. 13,14 Wound exploration under infusion port placement is advisable as the first approach in the surgery to avoid eye collapse while manipulating the lens near the injury in the sclera. Scleral tear repair followed by anterior vitrectomy is advised.…”

Section: Discussionmentioning

confidence: 99%

Management of traumatic phacocele

Sahay,

Arya,

Khullar

et al. 2023

IJCEO

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Phacocele is defined as dislocation of normal crystalline lens into sub conjunctival space through scleral defect after blunt trauma.A case of post-traumatic scleral/limbal tear and dislocated normal crystalline lens to the sub-conjunctival space, supero-nasally. On examination the best corrected visual acuity in left eye was finger counting close to face.Wound exploration with tear repair was done under general anaesthesia under nil visual prognosis, anterior chamber was formed.Traumatic phacocele usually occurs due to indirect impact on the globe following blunt trauma and is an emergency condition to be treated as early as possible.

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Section: Discussionmentioning

confidence: 99%

Management of traumatic phacocele

Sahay,

Arya,

Khullar

et al. 2023

IJCEO

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“…The basic goal of phacocele care is to retrieve the misplaced lens while maintaining globe integrity. 7 The wound should be carefully examined; the crystalline lens must be removed from the underlying vitreous, and the scleral rupture should be repaired.…”

Section: Discussionmentioning

confidence: 99%

A rare case report of traumatic phacocele

Kochar¹,

Ahuja²,

Agarwalla³

et al. 2023

Int J Res Med Sci

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A 67-year-old woman visited our facility and complained of right eye pain, redness, and sudden loss of vision. There was history of blunt trauma to right eye by goat horn 25 days before. Visual acuity of light perception was present in right eye. On slit lamp examination, right eye revealed a clearly defined mass in subconjunctival space close to the limbus with scleral rupture. Anterior chamber was irregular in depth with vitreous stands in anterior chamber. Clinically there was aphakia. The patient was diagnosed with right eye traumatic phacocele and scheduled for surgical excision of the crystalline lens with scleral wound repair. A blunt injury may cause an indirect scleral rupture, which would then cause the crystalline lens to dislocate in the subtenon or subconjunctival area. Phacocele, a rare ocular manifestation of blunt trauma caused by indirect scleral rupture of the globe, is one of a number of ocular manifestations of blunt trauma. In this case, the cataractous lens was dislocated in the subconjunctival space due to indirect trauma from a goat horn, without any precipitating conditions.

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Subconjunctival Cataract After Trauma

Andonegui

Ferro²

2002

Arch Ophthalmol

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Traumatic Subconjunctival Dislocation of the Crystalline Lens and Its Surgical Management

Cited by 17 publications

References 6 publications

Management of traumatic phacocele

Management of traumatic phacocele

A rare case report of traumatic phacocele

Subconjunctival Cataract After Trauma

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