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Spontaneously anteriorly displaced cataract

Poster Details

First Author: J.Barbosa-Breda PORTUGAL

Co Author(s):    J. Macedo   J. Pinheiro-Costa   J. Beato   P. Gouveia   J. Tavares Ferreira   F. Falcão-Reis

Abstract Details



Purpose:

To describe a rare cataract complication

Setting:

Ophthalmology department (emergency department, ultrasound, operating room) of Centro Hospitalar São João, Porto, Portugal

Methods:

We describe a case of a spontaneously anteriorly displaced lens, with anterior segment photographs, ocular ultrasound and surgery video.

Results:

A fifty one year-old male patient presented to the ophthalmology emergency department with a spontaneously anteriorly displaced lens in the right eye (OD). Recent trauma or exertion were denied. There was prior history of penetrating eye trauma during early adulthood and no ophthalmology consultation was made since that event. He had no light perception in the OD (difficult to assess since mature/traumatic cataract was in front of pupil) and best-corrected visual acuity was 10/10 in the left eye. No other anterior segment abnormalities were found, intraocular pressure (Goldmann) was 6 mmHg in OD and fundoscopy was not possible due to lens opacity. The patient was then submitted to an ocular ultrasound that revealed a complete tractional retinal detachment and choroid calcifications. Five days later we performed an intracapsullar cataract extraction through a 5 mm corneal incision without intraocular lens placement. Post op evaluation had no abnormal findings in the anterior segment and absence of light perception was confirmed in the OD.

Conclusions:

This is a report of a rare cataract complication, which in many cases can be very difficult to manage if the whole anterior chamber is occupied, leading to an increase in intraocular pressure and corneal edema. FINANCIAL INTEREST: NONE

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