Srpski arhiv za celokupno lekarstvo 2013 Volume 141, Issue 11-12, Pages: 800-802
https://doi.org/10.2298/SARH1312800J
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Bilateral spontaneous crystalline lens dislocation to the anterior chamber: A case report
Jovanović Miloš (Medicinski fakultet, Beograd + Klinički centar Srbije, Klinika za očne bolesti, Beograd)
Introduction. There are various reasons for the lens dislocation. Spontaneous
dislocation of a clear lens is extremely rare, especially its dislocation to
the anterior chamber. Case Outline. The author presents a case of spontaneous
clear lens dislocation to the anterior chamber in both eyes in a patient
without the history of any trauma. Dislocation occurred spontaneously, first
in the left eye, along with a sudden decrease of vision. The ophthalmologist
found a clear lens in the anterior chamber, without any sign of an elevated
intraocular pressure, as should have been expected. The dislocated lens was
removed surgically (intracapsular extraction) with the preventive basal
iridectomy. Two years later, the same happened in the right eye: clear lens
moved spontaneously to the anterior chamber, with a decrease of vision, but
again without any rise of intraocular pressure and/or any pain. Intracapsular
extraction of the lens with basal iridectomy was done again. Conclusion. The
presented case demonstrates that spontaneous dislocation of the transparent
lens to the eye anterior chamber can occur in both eyes at different time
intervals. We suggest the removal of dislocated lens in the anterior chamber
by the intracapsular extraction.
Keywords: bilateral spontaneous clear lens dislocation, anterior chamber, surgery