Work

Dislocated crystalline lens into the suprachoroidal space after blunt ocular trauma: a case report and diagnostic challenge

Year: 2026

Type: article

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.

Source: BMC Ophthalmology

DOI: 10.1186/s12886-026-05321-7

Authors: Yanyan Zhang, Jiayi Wang, Quanyong Yi, Hongling Liu

Institutions: Wenzhou Medical University, First Affiliated Hospital of Harbin Medical University

Language: English

Topic: Traumatic Ocular and Foreign Body Injuries

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,990