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Bilateral spontaneous anterior lens dislocation in a retinitis pigmentosa patient.

Kwon YA, Bae SH, Sohn YH - Korean J Ophthalmol (2007)

Bottom Line: A 45-year-old male with RP presented with elevated intraocular pressure (IOP) in the right eye and was treated with laser iridotomy (LI).Two years later, the same episode occurred in his left eye and a similar treatment was done.Surgery was successful in both eyes.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report a case of bilateral spontaneous anterior lens dislocation associated with retinitis pigmentosa (RP).

Methods: A 45-year-old male with RP presented with elevated intraocular pressure (IOP) in the right eye and was treated with laser iridotomy (LI). After LI, complete crystalline lens dislocation into the anterior chamber occurred. Surgical intervention, including anterior vitrectomy, intracapsular cataract extraction (ICCE), and IOL scleral fixation was performed. Two years later, the same episode occurred in his left eye and a similar treatment was done.

Results: Surgery was successful in both eyes.

Conclusions: This is the first report of bilateral spontaneous anterior lens dislocation in a RP patient.

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Related in: MedlinePlus

Fundus photograph of the right (A) and left (B) eye. Bone-spicule pigmentation in the entire retina with sparing of the macula and pale optic discs were noted.
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Figure 1: Fundus photograph of the right (A) and left (B) eye. Bone-spicule pigmentation in the entire retina with sparing of the macula and pale optic discs were noted.

Mentions: A 45-year-old Korean male presented on March 27, 2003 with right ocular pain. Family history included an older brother with RP. The patient had no systemic disorders. Right and left IOP, measured by a Goldman applanation tonometer, was 66 and 11 mmHg, respectively. Right and left eye best corrected visual acuity (BCVA) was 20/70 with -4.50 +1.00×165 and 20/100 with -3.50 +1.00×180, respectively. Right eye slit lamp examination showed steamy opaque cornea and a central anterior chamber depth of 2 corneal thickness (CT). The left eye cornea, conjunctiva, and anterior chamber were normal. Phacodonesis was noted bilaterally. A slightly hazy fundus, bone-spicule pigmentation sparing macula, and pale optic disc was noted in the right eye (Fig. 1). The patient was given intravenous 15% mannitol (300 mL), oral acetazolamide (Diamox) (500 mg), oral 50% glycerin (Glycerol) (50 cc), carbonic anhydrase inhibitor (Cosopt), and 0.2% Brimonidine (Alphagan) eye drops.


Bilateral spontaneous anterior lens dislocation in a retinitis pigmentosa patient.

Kwon YA, Bae SH, Sohn YH - Korean J Ophthalmol (2007)

Fundus photograph of the right (A) and left (B) eye. Bone-spicule pigmentation in the entire retina with sparing of the macula and pale optic discs were noted.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2629702&req=5

Figure 1: Fundus photograph of the right (A) and left (B) eye. Bone-spicule pigmentation in the entire retina with sparing of the macula and pale optic discs were noted.
Mentions: A 45-year-old Korean male presented on March 27, 2003 with right ocular pain. Family history included an older brother with RP. The patient had no systemic disorders. Right and left IOP, measured by a Goldman applanation tonometer, was 66 and 11 mmHg, respectively. Right and left eye best corrected visual acuity (BCVA) was 20/70 with -4.50 +1.00×165 and 20/100 with -3.50 +1.00×180, respectively. Right eye slit lamp examination showed steamy opaque cornea and a central anterior chamber depth of 2 corneal thickness (CT). The left eye cornea, conjunctiva, and anterior chamber were normal. Phacodonesis was noted bilaterally. A slightly hazy fundus, bone-spicule pigmentation sparing macula, and pale optic disc was noted in the right eye (Fig. 1). The patient was given intravenous 15% mannitol (300 mL), oral acetazolamide (Diamox) (500 mg), oral 50% glycerin (Glycerol) (50 cc), carbonic anhydrase inhibitor (Cosopt), and 0.2% Brimonidine (Alphagan) eye drops.

Bottom Line: A 45-year-old male with RP presented with elevated intraocular pressure (IOP) in the right eye and was treated with laser iridotomy (LI).Two years later, the same episode occurred in his left eye and a similar treatment was done.Surgery was successful in both eyes.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report a case of bilateral spontaneous anterior lens dislocation associated with retinitis pigmentosa (RP).

Methods: A 45-year-old male with RP presented with elevated intraocular pressure (IOP) in the right eye and was treated with laser iridotomy (LI). After LI, complete crystalline lens dislocation into the anterior chamber occurred. Surgical intervention, including anterior vitrectomy, intracapsular cataract extraction (ICCE), and IOL scleral fixation was performed. Two years later, the same episode occurred in his left eye and a similar treatment was done.

Results: Surgery was successful in both eyes.

Conclusions: This is the first report of bilateral spontaneous anterior lens dislocation in a RP patient.

Show MeSH
Related in: MedlinePlus