Anterior Luxation of the Crystalline Lens: A Case Report

A. eladrari¹, F. benelkadri ²; M. Kriet³; F.elasri⁴

1,2,3,4. University Cadi Ayad ,Department of Ophthalmology, Avicenne Hospital, Marrakech, Morocco.

*Correspondence to: Dr. Farah Kadri, University Cadi Ayad ,Department of Ophthalmology, Avicenne Hospital, Marrakech, Morocco.

Copyright

© 2024 Dr. Farah Kadri. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 17 September 2024

Published: 25 October 2024

Blunt ocular trauma is the one of the commonest cause of anterior dislocation of the crystalline lens [1].

 Anterior ocular lens dislocation is a rare condition whose treatment must be urgent [2].

A 75-year-old patient who presented to the emergency department with a painful right eye with sudden onset of visual acuity following minimal traumatic bruising. Visual acuity limited to the perception of finger movements, Biomicroscopic examination revealed a dislocation of the lens in the anterior chamber (Fig. 1). Intraocular pressure was increased to 27mmHg by pupillary blockage.

A rapid extraction was performed to avoid damage to the cornea with a previous vitrectomy, a secondary implantation with a iris clip lens was decided.

Figure 1. Front view image of the anterior segment showing the dislocated cataract lens in the anterior chamber.

References

1. Hafidi Z, Daoudi R. Anterior dislocation of the lens. N Engl J Med 2014; 370: 1343–1343.

2. Marcus DM, Topping TM, Frederick AR Jr. Vitreoretinal management of traumatic dislocation of the crystalline lens. Int Ophthalmol Clin 1995; 35: 139–150