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Dislocated lens

Photo by Professor Chua

This 30 year-old Indonesian sustained a blunt trauma to his left eye from a swinging iron chain 3 months ago. He was treated in the casualty for skin laceration and discharged. Three months later, the vision remained poor. Examination revealed dilated pupil, presence of vitreous in the anterior chamber and a posteriorly dislocated lens. Surgery was planned for anterior vitrectomy, removal of the crystalline lens and scleral fixated lens. However, the patient did not return for operation.

 

Traumatic iris mydriasis.   Vitreous in the anterior chamber. Pigment cells (tobacco dusts) are seen in the vitreous.   Dislocated lens in the inferior vitreal cavity (viewed with 90D superfield).   Another view of the dislocated lens in the inferior vitreal cavity (viewed with 90D superfield).   Another view of the dislocated lens in the inferior vitreal cavity (viewed with 90D superfield).

Atlas of Oculoplastic Surgery