Subconjuntival IOL After Blunt Trauma


File number: 28326


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    trauma, dislocated intraocular lens (IOL)
    Gabriel Andrade, RETINA CLINIC, São Paulo, BRAZIL
    Imaging device
    Photo slit lamp biomicroscope
    A 73-year-old male patient was referred to our ophthalmic emergency department with complaints of redness, pain, and diminution of vision in his left eye, after fall from height. The patient underwent small incision cataract surgery with polymethylmethacrylate (PMMA) IOL implantation in both the eyes 15 years back through superior sclerocorneal incision under local anesthesia. His best-corrected visual acuity was perception of light in the left eye. Ophthalmic examination using slit lamp biomicroscopy of the left eye revealed diffuse subconjunctival hemorrhage with no conjunctival laceration and inferior bulbar conjunctiva showed traumatic pseudophacocele with a sign “golden half ring,” suggesting the presence of PCIOL in subconjunctival space.There was total hyphema obscuring the view of rest of the ocular structures in his left eye.

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