Pupillary capture of implantable contact lens after blunt trauma.
A 33-year-old woman visited our clinic with blurry vision and periorbital swelling after experiencing blunt trauma to left eye. Ten months earlier, she had implantable contact lens (ICL) implantation in the left eye. Biomicroscopic examination showed that that 1 footplate of the ICL was entrapped in the pupillary aperture at the 7 o'clock position and the ICL was placed vertically. The patient had limited ocular movement in lateral gaze, and the computed tomography showed a medial orbital wall fracture. Pupillary capture of the ICL was surgically corrected with an iris manipulator under topical anesthesia. After the ICL was repositioned, the patient's uncorrected visual acuity was restored to 20/32, as before the injury. Pupillary capture of the ICL may occur after blunt ocular trauma.
Song
Jong-Suk
JS
Department of Ophthalmology, Guro Hospital, Korea University College of Medicine, Guro-dong, Seoul, Korea. crisim@freechal.com
Moon
Hyun Seung
HS
Shyn
Kyung Hwan
KH
D000328:Adult; D003261:Contact Lenses; D005131:Eye Injuries / Q000150:complications*; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery; D006801:Humans; D049008:Keratectomy, Subepithelial, Laser-Assisted; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D009915:Orbit / Q000000981:diagnostic imaging / Q000293:injuries; D009917:Orbital Fractures / Q000000981:diagnostic imaging / Q000209:etiology; D011680:Pupil; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000150:complications*