Original Article

Clinical and surgical features of eyes with traumatic crystalline lens subluxation/luxation and the treatment results - Original Article

  • Hürkan Kerimoglu
  • Ümit Kamis
  • Banu Turgut Öztürk
  • Mehmet Okka
  • Kemal Gündüz
  • Hamiyet Pekel

Received Date: 10.03.2009 Accepted Date: 25.05.2009 Turk J Ophthalmol 2009;39(5):372-379

Purpose: To determine the clinical and surgical features of eyes with traumatic crystalline lens subluxation/luxation and to evaluate the treatment results at 6 month follow up. Methods: Medical records of 16 patients underwent surgical traetment for traumatic cristalline lens subluxation/luxation and completed 6 month follow up at Selçuk Univetsity Meram Faculty of Medicine during the 3 year interval between June 2005 and June 2008, were reviewed. Results: All of sixteen eyes underwent pars plana vitrectomy. 3 of them also had pars plana lensectomy and 11 had phacofragmantation in the vitreous cavity. Crystalline lens nucleus was extracted from the limbal insicion by the help of perflorocarbon fluids in two eyes. Retinal tear was detected intraopeatively in two cases. None of the patients had preoperative or postoerative retinal detachment. 11 patients had scleral fixated intraocular lens (SFIOL) implantation at the same surgical session and 4 had SFIOL implantation at 1-2 months postoperatively for restoration of vision. One patient had trabeculectomy at 3 weeks postoperatively because of uncontrolled intraocular pressure (IOP) with medical treatment. Two patients were still using topical antiglaucomatous drops to control IOP at the end of 6 month. Postoperative Snellen best-corrected visual acuity of 0.5 or better was achieved in 10 patients (62.5%). Among 6 patients with final visual acuity at 6 month Conclusions: Pars plana approach appears to be safe and effective in patients with traumatic subluxated/luxated crystalline lens. Postoperative visual acuity is closely related to preexisting ocular disease. Satisfactory visual results may be achieved in patients without concomitant ocular diseases.

Keywords: Traumatic crystalline lens subluxation, traumatic crystalline lens luxation, pars plana lensectomy, phacofragmantation, pars plana vitrectomy

Full Text (Turkish)