scholarly journals A rare mechanism of subconjunctival dislocation of anterior chamber intraocular lens after blunt ocular trauma

2020 ◽  
Vol 148 (5-6) ◽  
pp. 376-378
Author(s):  
Mladen Bila ◽  
Igor Kovacevic ◽  
Goran Damjanovic ◽  
Jelena Potic ◽  
Jelena Karadzic
Keyword(s):  
Anterior Chamber ◽  
Blunt Trauma ◽  
Intraocular Lens ◽  
Ocular Trauma ◽  
Rare Event ◽  
Emergency Situation ◽  
Globe Rupture ◽  
Subconjunctival Space ◽  
The Right ◽  
Blunt Ocular Trauma

Introduction. Dislocation of intraocular lens (IOL) after ocular trauma is an emergency situation requiring prompt surgery. Dislocation of IOL into the subconjunctival space or pseudophacocoele is a rare event after blunt ocular trauma. Case outline. We report a case of a pseudophakic patient with a dislocation of the anterior chamber IOL (ACIOL) into subconjunctival space following blunt trauma to the right eye. A 76-year-old man presented with ACIOL dislocation into subconjunctival space, adapted old scleral wound and preserved corneal integrity. Fifteen years previously he suffered right eye globe rupture after blunt trauma, which was surgically closed and ACIOL was inserted. Conclusion. This case highlights a rare mechanism of ACIOL dislocation into subconjunctival space following blunt ocular trauma with preserved corneal integrity and adapted old scleral wound. In cases of post-traumatic aphakia, IOL dislocation into the subconjunctival space should be suspected.

scholarly journals An Uncommon Meridional Globe Rupture due to Blunt Eye Trauma

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Krishan Kumar ◽  
Rick Figurasin ◽  
Swati Kumar ◽  
Muhammad Waseem
Keyword(s):  
Ocular Trauma ◽  
Severe Form ◽  
Open Globe Injury ◽  
Unique Case ◽  
Pertinent Literature ◽  
Eye Trauma ◽  
Globe Rupture ◽  
Open Globe ◽  
Blunt Eye Trauma ◽  
Blunt Ocular Trauma

Open globe injury (OGI) is a severe form of eye trauma. It is an important cause of monocular blindness worldwide. Ruptures from blunt trauma are most common at the sites where the sclera is thinnest, at the insertions of the extraocular muscles, and at the limbus. Most often, rupture is equatorial. We present a unique case of open globe injury due to blunt ocular trauma from a thrown rock that resulted in a meridional rupture of the eye. The pertinent literature is reviewed.

scholarly journals Ultrasound findings in a case of Eales’ disease and ocular trauma with anterior chamber cholesterolosis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Peng Lu ◽  
Jingjing Huang
Keyword(s):  
Anterior Chamber ◽  
Ocular Trauma ◽  
Vitreous Body ◽  
Ultrasound Biomicroscopy ◽  
Applanation Tonometry ◽  
Potential Mechanism ◽  
Rare Phenomenon ◽  
Ultrasound Findings ◽  
Eales Disease ◽  
The Right

Abstract Background Anterior chamber cholesterolosis is a rare phenomenon which occurs mostly in chronically blind eyes. We present the anterior and posterior ultrasound findings in a case of anterior chamber cholesterolosis secondary to Eales’ disease and ocular trauma, which may contribute to the understanding of the potential mechanism of this phenomenon. Case presentation A 48-year-old man presented with “sparking” right eye, which appeared soon after the ocular trauma. Both eyes were confirmed Eales’ disease in our center 8 years ago, and right eye remained no light perception since then. Intraocular pressure of right eye measured by Goldmann applanation tonometry was 1 mmHg. Slitlamp photograph revealed multiple polychromatic large crystals in anterior chamber. Ultrasound biomicroscopy showed that anterior chamber was filled with extensive large granular substances. Dense dotted hyperechoic foci and retinal detachment was found in B-scan ultrasound examination. The right eye was diagnosed as anterior chamber cholesterolosis secondary to Eales’ disease and ocular trauma. The patient was asymptomatic, and therefore was advised to have regular follow-up. Conclusion The findings of above imaging examinations, as well as complaint of “sparkling” eye appeared soon after ocular trauma elucidate that anterior chamber cholesterol crystals were from vitreous cavity. Any factors facilitating the communication of anterior chamber and vitreous body may lead to the occurrence of this rare phenomenon in predisposing eyes. The anterior and posterior ultrasound findings may give a clue on the potential mechanism.

scholarly journals Pseudophacocele following a Bicycle Handle Injury: A Case Report

2018 ◽  
Vol 10 (1) ◽  
pp. 94-97
Author(s):  
Sahil Thakur ◽  
Parul Ichhpujani ◽  
Suresh Kumar
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Blunt Trauma ◽  
Surgical Management ◽  
Clinical Course ◽  
Rare Complication ◽  
Vitreous Haemorrhage ◽  
Visual Outcomes ◽  
Subconjunctival Space ◽  
The Right

Background: Pseudophacocele is a rare complication of blunt trauma in pseudophakic eyes.Case: We present a case of 60-year-old male who presented with pseudophacocele after injury from a bicycle handle. On presentation, visual acuity in the right eye was perception of light (PL) in 2 quadrants (superior and temporal) and left eye was 20/20. A PCIOL was seen superonasally in the right subconjunctival space with total hyphaema. Ultrasound demonstrated vitreous haemorrhage with membranes in right eye. We describe the surgical management and further clinical course of the patient.Conclusion: It is imperative to surgically manage these challenging cases. Despite optimum care visual outcomes are guarded in patients with severe blunt trauma.

Globe Rupture after Blunt Ocular Trauma

2003 ◽  
Vol 220 (1/2) ◽  
pp. 13-14 ◽  
Author(s):  
Arne Viestenz ◽  
Michael Küchle
Keyword(s):  
Ocular Trauma ◽  
Globe Rupture ◽  
Blunt Ocular Trauma

scholarly journals The Masquerades of a Childhood Ciliary Body Medulloepithelioma: A Case of Chronic Uveitis, Cataract, and Secondary Glaucoma

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Jocelyn Chua ◽  
Wisam J. Muen ◽  
Ashwin Reddy ◽  
John Brookes
Keyword(s):  
Anterior Chamber ◽  
Ciliary Body ◽  
Ocular Trauma ◽  
Delayed Diagnosis ◽  
Secondary Glaucoma ◽  
Secondary Effects ◽  
Tumor Seeding ◽  
Chronic Uveitis ◽  
Aqueous Shunt ◽  
Blunt Ocular Trauma

Ciliary body medulloepitheliomas in childhood often masquerade other intraocular conditions due to its insidious nature as well as its secondary effects on proximal intraocular tissues in the anterior chamber. We report a case where a ciliary body medulloepithelioma in a two-year-old boy presents with chronic uveitis, cataract, and an uncontrolled secondary glaucoma after an innocuous blunt ocular trauma. The diagnosis was only made after the occurrence of a ciliary body mass. We discuss the clinical features of ciliary body medulloepitheliomas, the implications of a delayed diagnosis and treatment as well as the concern of periorbital tumor seeding with the use of an aqueous shunt implant in this case.

scholarly journals Exophiala Endophthalmitis after Cataract Surgery

2021 ◽  
Vol 62 (10) ◽  
pp. 1435-1439
Author(s):  
Tae Hwan Kim ◽  
Moon Kyung Shin ◽  
Yoon Hyung Kwon
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Anterior Chamber ◽  
Intraocular Lens ◽  
Early Stage ◽  
Vitreous Body ◽  
Complete Removal ◽  
Eye Drops ◽  
Second Surgery ◽  
The Right

Purpose: To report a case of Exophiala endophthalmitis after cataract surgery, which has not been reported previously in Korea.Case summary: A 70-year-old woman visited the hospital 7 days after cataract surgery in her right eye with unilateral vision impairment. At the time of the visit, visual acuity of the right eye was hand motion, and the fundus was not clearly observed due to numerous inflammatory cells with hypopyon in the anterior chamber. With an initial diagnosis of suspected bacterial endophthalmitis, vitrectomy was performed immediately with intravitreal injection of antibiotics and steroid. On day 14 after vitrectomy, inflammation in the anterior chamber and vitreous opacity worsened, and complete vitrectomy, including of the vitreous base, and removal of the intraocular lens and capsule was performed. Exophiala was detected in the biopsy specimen on day 6 after the second surgery, and the patient was discharged with a prescription for voriconazole eye drops. On day 23 after the second surgery, the best-corrected visual acuity in the right eye had improved to 1.0, and there was no evidence of endophthalmitis recurrence and no observed additional abnormal findings of the fundus until 6 months after second surgery.Conclusions: In a case of fungal endophthalmitis that occurred after cataract surgery, good results were obtained by vitrectomy involving complete removal of the peripheral vitreous body, including the intraocular lens and lens capsule, which was the basis for growth of the fungus in the early stage of endophthalmitis.

scholarly journals Traumatic scleral wound dehiscence with filtering bleb formation after surgical repair of penetrating globe injury

2013 ◽  
Vol 5 (1) ◽  
pp. 136-137 ◽  
Author(s):  
A Ozkaya ◽  
Z Alkin ◽  
Y Acet ◽  
U Yigit
Keyword(s):  
Surgical Repair ◽  
Ocular Trauma ◽  
Anterior Segment ◽  
Wound Dehiscence ◽  
Rare Occurrence ◽  
Filtering Bleb ◽  
Bleb Formation ◽  
The Right ◽  
Blunt Ocular Trauma

Backgropund: Filtering bleb formation after surgical repair of penetrating globe injury is a rare occurrence. Case: A 45-year-old male who had undergone surgical repair of a corneoscleral laceration 16 months earlier presented to emergency room after blunt trauma to the left eye. His best-corrected visual acuities were 20/20 in the right eye and 20/25 in the left. An anterior segment examination found a conjunctival filtering bleb formation on scarred sclera at superotemporal location near the limbus. Anterior chamber was slightly shallow and the Seidel test was negative. Intraocular pressures were 17 mm Hg in the right eye, 7 mm Hg in the left. The fundus examination revealed no abnormal findings. The patient was treated with topical aplication of a steroid and a cycloplegic drop during three weeks. After 16 months follow-up, the visual acuity remained unchanged with the persistence of filtering bleb. IOP was 8 mm Hg in the left eye. Follow-up examinations showed no complications related to trauma. Conclusion: Blunt ocular trauma can cause dehiscence in old scleral scars and subsequent filtering bleb formation. Nepal J Ophthalmol 2013; 5(9):136-137 DOI: http://dx.doi.org/10.3126/nepjoph.v5i1.7843

scholarly journals Spontaneous Scleral Perforation of an Anterior Chamber Intraocular Lens

2016 ◽  
Vol 7 (1) ◽  
pp. 249-252
Author(s):  
Oriel Spierer ◽  
Terrence P. O’Brien
Keyword(s):  
Optical Coherence Tomography ◽  
Anterior Chamber ◽  
Intraocular Lens ◽  
Anterior Segment ◽  
Optical Coherence ◽  
Chamber Length ◽  
Good Visual Acuity ◽  
Vertically Aligned ◽  
Eye Examination ◽  
The Right

A routine eye examination of a 69-year-old man revealed a scleral perforation of one of the haptics of the anterior chamber intraocular lens (AC IOL) which had been implanted many years ago. The patient was asymptomatic with good visual acuity. His history was negative for any trauma, eye rubbing, topical corticosteroid use, or autoimmune disease. The horizontal and vertical white-to-white diameters of the cornea in the right eye were 11.5 and 10.5 mm, respectively. Anterior segment optical coherence tomography showed the anterior chamber length to be 12.28 mm horizontally and 10.63 mm vertically. The patient underwent an IOL exchange, and the length of the explanted AC IOL was measured to be 12 mm. We speculate that the AC IOL, which was vertically aligned, was oversized. This case demonstrates the need for proper sizing and positioning of an AC IOL. In complex cases where AC IOL may be used, measuring the horizontal and vertical lengths of the anterior chamber by anterior segment optical coherence tomography prior to surgery may be useful.

scholarly journals Ex-PRESS shunt implantation for intractable glaucoma with posterior chamber phakic intraocular lens: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rongrong Hu ◽  
Wei Xu ◽  
Baishuang Huang ◽  
Xiaoyu Wang
Keyword(s):  
Anterior Chamber ◽  
Intraocular Lens ◽  
High Myopia ◽  
Posterior Chamber ◽  
Filtration Surgery ◽  
Phakic Intraocular Lens ◽  
Glaucoma Filtration Surgery ◽  
Shallow Anterior Chamber ◽  
The Right ◽  
Intractable Glaucoma

Abstract Background Implantation of the posterior chamber phakic intraocular lens has been widely performed to correct high and extreme myopia. Chronic intraocular pressure (IOP) elevation may occur in its late postoperative period. For medically uncontrolled cases, surgical treatment is necessary, and benefits should be weighed against risks when determining whether to remove the lens. Case presentation A 32-year-old man with extremely high myopia presented with progressive blurred vision and medically uncontrolled IOP in the right eye. His past ocular history was significant for bilateral implantable collamer lens (ICL) implantation ten years ago. On ophthalmic examination, the ICL was well placed with a vault height of 456 µm in the right eye. The anterior chamber angles were open but narrow, and mild to moderate trabecular pigmentation was noted. Ex-PRESS glaucoma filtration surgery without ICL removal was performed to control IOP. During surgery, an Ex-PRESS P50 shunt was inserted into the anterior chamber via the front edge of the blue-grey transition zone between the sclera and cornea. Transient hypotony and shallow anterior chamber occurred in the first week after surgery, along with an ICL tilt towards the cornea with reduced vault height. No other complications related to either the ICL or the Ex-PRESS shunt were noted. IOP remained stable at 12 ~ 14 mmHg at the first 3-month follow-up. Conclusions Ex-PRESS glaucoma filtration surgery might be a safe and effective alternative treatment for intractable glaucoma with high myopia and ICL implantation. Careful assessment of the ICL position and anterior chamber angle is necessary to plan the appropriate surgical procedure. A postoperative shallow anterior chamber may result in ICL dislocation.

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