Traumatic phacocele – A rare case of lens dislocation

Abstract

Traumatic phacocele is a rare case of lens dislocation following blunt trauma with only a few case reports in the literature. The risk of phacocele following blunt trauma is escalated in elderly patients due to increased scleral rigidity and hard nucleus. We report a case of a 70-year-old lady who sustained blunt trauma to her left eye with a wooden stick. On examination, a subconjunctival mass was noted with surrounding subconjunctival haemorrhage in the superonasal position in the left eye. The anterior segment showed left eye corneal oedema with total hyphaema and the fundus showed no view due to total hyphaema. B-scan ultrasonography of her left eye showed a vitreous haemorrhage with retinal detachment. Wound exploration was done and the lens was removed. Suturing of the scleral defect was also done. Postoperatively she had the perception of light. The visual outcome depends on timely management and associated ocular complication.

Keywords

• blunt trauma
• phacocele
• scleral rupture
• subconjunctival mass