Dislocated crystalline lens into the suprachoroidal space after blunt ocular trauma: a case report and diagnostic challenge.
- 1Ningbo Key Laboratory of Medical Research on Blinding Eye Diseases, Ningbo Eye Institute, Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, 315040, China.
- 2Ningbo Key Laboratory of Medical Research on Blinding Eye Diseases, Ningbo Eye Institute, Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, 315040, China. [email protected].
- 3Department of Ophthalmology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, 150000, PR China. [email protected].
Abstract
Background
The posterior dislocation of the crystalline lens into the suprachoroidal space after closed-globe trauma is an exceptionally rare entity. Lens preservation is one of the treatment strategies.Case presentation
A 55-year-old male presented with severe visual impairment three days after a closed-globe injury to his right eye. Clinical examination revealed corneal edema, total hyphema, and ocular hypertension. B-scan ultrasonography suggested vitreous hemorrhage and choroidal detachment, while orbital computed tomography (CT) confirmed an intact ocular wall and lens dislocation. Surgical exploration via vitrectomy unexpectedly revealed a superotemporal ciliary body detachment and the crystalline lens incarcerated within the nasal suprachoroidal space. The patient was managed with ciliary body suturing and silicone oil tamponade without lens extraction, achieving favorable anatomical and functional outcomes at follow-up.Conclusions
Lens preservation is a feasible strategy in cases of posterior dislocation of the crystalline lens into the suprachoroidal space after closed-globe trauma, provided that the lens capsule remains intact and there is no evidence of inflammation or elevated intraocular pressure.
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BibTeX
@article{zhang2026dislocated,
title = {{Dislocated crystalline lens into the suprachoroidal space after blunt ocular trauma: a case report and diagnostic challenge.}},
author = {Yanyan Zhang and Jiayi Wang and Quanyong Yi and Hongling Liu},
journal = {BMC ophthalmology},
year = {2026},
month = oct,
doi = {10.1186/s12886-026-05321-7},
url = {https://europepmc.org/article/MED/42972296},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Dislocated crystalline lens into the suprachoroidal space after blunt ocular trauma: a case report and diagnostic challenge.
AU - Yanyan Zhang
AU - Jiayi Wang
AU - Quanyong Yi
AU - Hongling Liu
PY - 2026
DA - 2026/10/12
JO - BMC ophthalmology
DO - 10.1186/s12886-026-05321-7
UR - https://europepmc.org/article/MED/42972296
AB - Background The posterior dislocation of the crystalline lens into the suprachoroidal space after closed-globe trauma is an exceptionally rare entity. Lens preservation is one of the treatment strategies.Case presentation A 55-year-old male presented with severe visual impairment three days after a closed-globe injury to his right eye. Clinical examination revealed corneal edema, total hyphema, and ocular hypertension. B-scan ultrasonography suggested vitreous hemorrhage and choroidal detachment, while orbital computed tomography (CT) confirmed an intact ocular wall and lens dislocation. Surgical exploration via vitrectomy unexpectedly revealed a superotemporal ciliary body detachment and the crystalline lens incarcerated within the nasal suprachoroidal space. The patient was managed with ciliary body suturing and silicone oil tamponade without lens extraction, achieving favorable anatomical and functional outcomes at follow-up.Conclusions Lens preservation is a feasible strategy in cases of posterior dislocation of the crystalline lens into the suprachoroidal space after closed-globe trauma, provided that the lens capsule remains intact and there is no evidence of inflammation or elevated intraocular pressure.
SN - 1471-2415
ER -