Sandra Bleidele, Alberts Veitners, Arturs Zemitis, Irina Vasilcenko, Ieva Bagante, Guna Laganovska
Department of Ophthalmology, Riga Stradins University, Riga, Latvia.
Pauls Stradins Clinical University Hospital, Riga, Latvia.
Rom J Ophthalmol. 2025 Apr-Jun;69(2):254-258. doi: 10.22336/rjo.2025.40.
To report a 53-year-old woman with a traumatic phacocele after blunt eye trauma.
In this case, a comprehensive ophthalmological examination, computed tomography (CT), eye ultrasonography, optical coherence tomography (OCT), as well as eye and orofacial surgeries, were performed. The surgery was divided into three different stages: a revision of the wound, maxillofacial surgery, and a 25G pars plana vitrectomy with retropupillary Artisan IOL implantation.
During the latest examination, occurring one and a half months after the incident, the patient presented with a best-corrected visual acuity (BCVA) of 20/70 in the left eye.
Phacocele is a rare consequence of blunt ocular trauma, most commonly observed in elderly patients after a fall, with the lens dislocated in the superonasal quadrant. Prompt surgical management is essential, although long-term visual results may be affected by postoperative complications.
Phacocele, defined as the displacement of the crystalline lens into the subconjunctival space, is a rare complication that may arise from blunt eye trauma. Due to its infrequency, there is limited literature and documented cases available. As demonstrated in this case, the patient exhibited significant improvement in best-corrected visual acuity (BCVA) following surgical interventions in the eye.
报告一名53岁女性在钝性眼外伤后发生外伤性晶状体突出。
在该病例中，进行了全面的眼科检查、计算机断层扫描（CT）、眼部超声检查、光学相干断层扫描（OCT）以及眼部和口腔颌面外科手术。手术分为三个不同阶段：伤口修复、颌面外科手术以及25G经平坦部玻璃体切除术并植入瞳孔后Artisan人工晶状体。
在事件发生一个半月后的最近一次检查中，患者左眼最佳矫正视力（BCVA）为20/70。
晶状体突出是钝性眼外伤的罕见后果，最常见于老年人跌倒后，晶状体脱位至上鼻象限。尽管长期视力结果可能受术后并发症影响，但及时的手术治疗至关重要。
晶状体突出定义为晶状体移位至结膜下间隙，是一种可能由钝性眼外伤引起的罕见并发症。由于其罕见性，可用的文献和记录病例有限。如本病例所示，患者在接受眼部手术干预后最佳矫正视力（BCVA）有显著改善。
