Intraocular pressure and visual outcome following surgery for traumatic lens dislocation

Mutsuko Kato, Tadashi Nakayama, Yumi Kumase, Mio Hosokawa, Mayumi Takabatake, Yumiko Teraishi

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose : To report the course of intraocular pressure (IOP) and visual acuity following surgery for traumatic lens dislocation. Cases : We reviewed 9 eyes of 9 cases who were treated for traumatic lens dislocation in the past 38 months. Lens dislocation occurred immediately after trauma in 6 eyes and gradually in 3 eyes. Four eyes had lens luxation and 5 eyes had subluxation. Both groups included one Pseudophakie eye each. Results : After followup for 8 to 46 months, average 20 months, all the cases showed good final visual acuity. Ocular hypertension was present in 3 eyes (33%) before and after surgery. Ocular hypotony developed after surgery in 2 eyes (22%). IOP control was needed in these 5 eyes that showed impaired chamber angle for one quarter or over and that showed dialysis of the iris or ora serrata. Instillation of pilocarpine was effective for some of occular hypertension. Use of soft contact lens with iris was effective for iridodialysis. Conclusion : Close attention to IOP is needed after surgery for traumatic lens dislocation.

Original languageEnglish
Pages (from-to)685-690
Number of pages6
JournalJapanese Journal of Clinical Ophthalmology
Volume66
Issue number5
Publication statusPublished - May 15 2012

ASJC Scopus subject areas

  • Ophthalmology

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