J Korean Ophthalmol Soc.  2007 Dec;48(12):1723-1727.

Lens Particle Glaucoma with Intraocular Foreign Body

• Hwang YH
• Kim DS
• Moon SW
• Lee DY

Abstract

PURPOSE: To report a case of acute lens particle glaucoma with an intraocular foreign body that persisted for a long duration.
CASE SUMMARY
A 47-year-old man visited our clinic due to severe pain in his right eye. His uncorrected visual acuity was hand movement, and intraocular pressure (IOP) measured by a Goldmann applanation tonometer was 76 mmHg in the right eye. Severe corneal edema and floating lens materials in the anterior chamber were revealed by slit-lamp examination. An ultrasonography scan showed that the lens had dislocated into the vitreous cavity and revealed vitreous opacities. To remove lens materials and control IOP, anterior chamber irrigation and trans pars plana vitrectomy with lensectomy were performed under local anesthesia. During the operation, an intraocular foreign body was removed from the anterior chamber. Dislocated lens particles were removed by vitrectomy. After the operation, his best corrected visual acuity was 1.0, and intraocular pressure was 12 mmHg in the right eye.
CONCLUSIONS
Close observation is needed in cases with lens particle glaucoma, because a long-persisting intraocular foreign body can be accompanied by lens particle glaucoma.

Keyword

Intraocular foreign body; Lens particle glaucoma

MeSH Terms

Anesthesia, Local
Anterior Chamber
Corneal Edema
Foreign Bodies*
Glaucoma*
Hand
Humans
Intraocular Pressure
Middle Aged
Ultrasonography
Visual Acuity
Vitrectomy

Figure

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  Figure 1. Photograph of the right eye at first visit. Floating “fluffed-up” lens materials were shown in deep anterior chamber.

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  Figure 2. Ultrasonograph of the right eye at first visit. Dislocated lens and vitreous opacities were revealed.

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  Figure 3. Intraoperative photograph of the right eye (operator's view) at first visit. Intraocular foreign body at 6 o'clock position angle was removed by intraocular forceps.

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  Figure 4. Photograph of removed intraocular foreign body with 2 mm length and 1mm width.

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  Figure 5. Photograph of the right eye 3 months after the operation. The cornea and anterior chamber were clear with aphakic state.

Reference

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