Spontaneous lens absorption following nonpenetrating ocular trauma

Abstract

Spontaneous absorption of the crystalline lens although uncommon has been infrequently reported in the literature, going back to as far as two centuries. A 60-year-old female patient, with no previous significant ocular or systemic history, presented with a history of gradual painless progressive diminution vision in both eyes for 3 years. Slit-lamp biomicroscopy revealed aphakia with an inferior posterior capsular defect in the right eye and a mature cataract in the left. All hematological investigations were within the normal limits. A manual SICS with a rigid polymethyl methacrylate intraocular lens (IOL) was performed in the left eye first, followed by secondary IOL (iris-claw) implantation in the right eye. The patient made a complete recovery with a significant postoperative visual improvement in both eyes. Complete, asymptomatic, and spontaneous absorption of the crystalline lens can present as an uncommon sequela of nonpenetrating blunt ocular trauma, as described by the following case.

Keywords

• aphakia
• nonpenetrating trauma
• spontaneous lens absorption