Complete spontaneous crystalline lens dislocation into the anterior chamber with severe corneal endothelial cell loss.
OBJECTIVE
To report an unusual case of a spontaneously dislocated crystalline lens into the anterior chamber that was successfully treated.


METHODS
A generally healthy 49-year-old woman with no history of trauma presented with a spontaneously dislocated crystalline lens into the anterior chamber accompanied by corneal endothelial cell loss. The crystalline lens was extracted intracapsularly after gentle separation from the corneal endothelium by using a viscoelastic material.


RESULTS
Visual acuity remained at 20/16 from 1 day postoperatively, with little endothelial cell loss compared with preoperatively.


CONCLUSIONS
A spontaneously dislocated crystalline lens into the anterior chamber with severe corneal endothelial cell loss was treated successfully by intracapsular extraction.
Kawashima
Motoko
M
Department of Ophthalmology, Tokyo Dental College, Chiba, Japan. motokok@tdc.ac.jp
Kawakita
Tetsuya
T
Shimazaki
Jun
J
D000867:Anterior Chamber / Q000473:pathology*; D016923:Cell Death; D004728:Endothelium, Corneal / Q000473:pathology*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D007906:Lens Subluxation / Q000150:complications* / Q000601:surgery; D008875:Middle Aged; D014792:Visual Acuity; D014821:Vitrectomy