Lens in Anterior Chamber of the Eye: Surgical Removal

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IMMEDIATE surgical intervention is mandatory in patients with the lens located in the anterior chamber of the eye because of the frequent complications of glaucoma and secondary iritis. Yet, because of the rare occurrence of this condition, many surgeons are not prepared to perform the required operation.

During a five year period at the Cleveland Clinic, five cases were seen with lens dislocated in the anterior chamber, four were operated. The fifth was not operated because the eye was blind and the lens partially absorbed. Those patients with a lens dislocated behind the iris diaphragm are not included since this type of posterior lens dislocation requires a different surgical approach.

McDonald1 in a report of 94 cases of all types of dislocated lens seen at Wills' Eye Hospital during a five year period found only three instances of dislocation in the anterior chamber, the remainder presumably being dislocated into the vitreous.

The following case reports are representative of those patients seen at the Clinic with this condition.


Case 1. This 42 year old woman is illustrative of those patients with traumatic dislocation of the lens into the anterior chamber. Two months prior to examination she had bumped her head on a kitchen cabinet door. The right eye had been slightly painful following the accident but the pain slowly subsided. Two weeks before examination, the eye suddenly became painful and red. She obtained no relief from home remedies.

Positive physical findings were confined to the right eye, the upper . . .



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