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

2020 
Introduction. Dislocation of intraocular lens after ocular trauma is an emergency situation requiring the prompt surgery. Dislocation of intraocular lens into the subconjuctival space or pseudophacocoele is a rare event after blunt ocular trauma. Case outline. We report a case of a pseudophakic patient with dislocation of anterior chamber intraocular lens into subconjuctival space following blunt trauma to the right eye after the loss of consciousness and a fall. A 76-year-old man presented with anterior chamber intraocular lens dislocation into subconjuctival space, adapted old scleral wound and preserved corneal integrity. Fifteen years ago, he suffered right eye globe rupture after blunt trauma which was surgically closed and anterior chamber intraocular lens was inserted. Conclusion. This case highlights a rare mechanism of anterior chamber intraocular lens dislocation into subconjunctival space following blunt ocular trauma with preserved corneal integrity and adapted old scleral wound. In the cases of post-traumatic aphakia intraocular lens dislocation into the subconjunctival space should be suspected.
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