TJ-CEO
2016 , Vol 11 , Num 4
Management of Traumatic Lens Dislocation in Microspherophakia
1M.D. Associate Professor, Izmir Bozyaka Training and Research Hospital, Department of Ophthalmology, Izmir/TURKEY2M.D. Associate Professor, Afyon Kocatepe University, School of Medicine, Department of Ophthalmology, Afyonkarahisar,/TURKEY
3M.D. Izmir Bozyaka Training and Research Hospital, Department of Ophthalmology, Izmir/TURKEY We present the case of a 19-years old boy with microspherophakia who reported blunt trauma on his right eye 10 days ago. The patient had been diagnosed with glaucoma 4 years ago and he had been using a combination of antiglaucoma eye drops. The best corrected visual acuity (BCVA) was 3.00 logMAR with a refractive error of -21.00 (-2.00x155) dioptri (D). On slit-lamb examination, the lens was dislocated towards to the anterior chamber, and in the anterior chamber vitreus was detected. Intraocular pressure (IOP) was 36 mmHg. We performed intracapsuler lens extraction with implantation of a scleral fixation intraocular lens (IOL). At postoperative 1th month, the IOL was well centered with no anterior chamber reaction. Uncorrected visual acuity was 0.4 logMAR, BCVA was 0.2 logMAR with a refractive error of -1.50x55 D and IOP was 12 mmHg without antiglaucoma medication. In this case, we reported the management of traumatic lens dislocation in microspherophakia. Keywords : Intracapsuler lens extraction, lens dislocation, microspherophakia, scleral fixation