Lens dislocation

Case contributed by [deleted]
Diagnosis certain

Presentation

Middle-aged patient, presented to the Emergency Room department with ocular trauma from a wooden log.

Patient Data

Gender: Male
ct

Non-enhanced axial CT scan shows complete posterior dislocation of the right lens. 

Case Discussion

Blunt trauma typically displaces the cornea and anterior sclera posteriorly, deforming the globe.The deformation causes the complete (in this case) or partial rupture of zonular attachments. As a result of complete rupture, the lens usually dislocates posteriorly, and less commonly, anteriorly.

Non-traumatic lens dislocation can occur in systemic connective tissue disorders, e.g. Marfan syndrome, Ehlers-Danlos syndrome, and homocystinuria.

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