Lens nucleus dislocation in hypermature cataract: Case report and literature review.
Medicine (Baltimore)
; 101(35): e30428, 2022 Sep 02.
Article
in En
| MEDLINE
| ID: mdl-36107580
ABSTRACT
INTRODUCTION:
Hypermature cataract is a form of late-stage cataract progression that can lead to a variety of complications. Spontaneous capsular rupture with lens nucleus displacement in hypermature cataracts has rarely been reported. We describe 2 cases of spontaneous dislocation of the lens nucleus in a hypermature cataract and perform a review of the literature on this complication. PATIENT CONCERNS We report 2 rural men aged 50 and 76 years with deteriorating vision. DIAGNOSIS The final diagnosis was senile hypermature cataract with dislocation of the lens nucleus in both patients and secondary glaucoma for the second patient. INTERVENTIONS ANDOUTCOMES:
During admission, both patients complained of deteriorating vision. Slit-lamp examination showed lens nucleus dislocation into the anterior chamber. The 50-year-old patient exhibited a residual lens capsule and a turbid cortex, with a normal anterior chamber and intraocular pressure. The 76-year-old patient presented a shrunken and ruptured capsule and no cortex in the pupillary area, mild inflammation in the anterior chamber, and high intraocular pressure. Both patients underwent intracapsular cataract extraction combined with anterior vitrectomy and achieved good postoperative recovery.CONCLUSION:
Lens nucleus dislocation in hypermature cataracts can be seen in clinical practice, particularly in underdeveloped areas. Early recognition and surgery can improve vision.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cataract
/
Cataract Extraction
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Glaucoma
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Lens Subluxation
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Joint Dislocations
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Lens Capsule, Crystalline
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Aged
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Humans
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Male
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Middle aged
Language:
En
Journal:
Medicine (Baltimore)
Year:
2022
Document type:
Article
Affiliation country: