Complete spontaneous crystalline lens dislocation into the anterior chamber with severe corneal endothelial cell loss

Cornea. 2007 May;26(4):487-9. doi: 10.1097/ICO.0b013e3180303ae7.

Abstract

Purpose: 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.

Publication types

  • Case Reports

MeSH terms

  • Anterior Chamber / pathology*
  • Cell Death
  • Endothelium, Corneal / pathology*
  • Female
  • Humans
  • Intraocular Pressure
  • Lens Subluxation / complications*
  • Lens Subluxation / surgery
  • Middle Aged
  • Visual Acuity
  • Vitrectomy