TRAUMATIC PHACOCELE IN 55 YEARS OLD WOMAN FROM CHENNAI, INDIA

Abstract

A 55-years-old woman presented with profound sudden loss of vision in left eye (LE) after an injury in a road side accident. She had normal right eye. Left eye had perception of light (PL) with accurate projection of light (PR) in all quadrants, total hyphema, chemosis in supero-nasal conjunctiva and normal intraocular pressure (IOP). B-scan of LE showed extrusion of the lens into the supero-nasal subconjunctival space called phacocele, and vitreous hemorrhage. Wound exploration was done with removal of expelled lens and the scleral wound was sutured with 6/0 vicryl, followed by 25G pars plana vitrectomy with fluid gas exchange. Secondary IOL implantation is planned in next visit.