Surgical management of crystalline lens dislocation into the anterior chamber with corneal touch and secondary glaucoma.
We present a 53-year-old man with a crystalline lens that spontaneously dislocated anteriorly with corneal touch and secondary glaucoma. A dry anterior vitrectomy and partial intercapsular lensectomy were performed using a limbal approach to control intraocular pressure (IOP) and decrease the lens volume. The lens capsule was gently separated from the corneal endothelium with viscoelastic material, after which a bimanual lensectomy was performed with a vitrectomy probe and a phacoemulsification microflow tip. The risk for expulsive choroidal hemorrhage, which can occur during large-incision, open-chamber surgery; a sudden IOP decrease; and significant damage to the corneal endothelium were avoided with this technique. After secondary intraocular lens scleral fixation, the final visual acuity was 20/25.
Choi
Dong-Youk
DY
Department of Ophthalmology, Hanyang University Kuri Hospital, College of Medicine, Hanyang University, Seoul, South Korea.
Kim
June-Gone
JG
Song
Byung-Joo
BJ
D000867:Anterior Chamber / Q000473:pathology / Q000601:surgery*; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery*; D005901:Glaucoma / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D007906:Lens Subluxation / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014821:Vitrectomy