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Crystalline Lens Anterior Dislocation With Posterior Capsular Contraction

  • Yung-En Tsai
    Affiliations
    Department of Ophthalmology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan

    Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
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  • Shu-I Pao
    Correspondence
    Reprint Address: Shu-I. Pao, Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, No. 325, Chenggong Rd., Sec. 2, Neihu, Taipei 114, Taiwan
    Affiliations
    Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
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      A 60-year-old woman presented to the Emergency Department with a 2-week history of blurry vision in her left eye after left ocular contusion by a chair. The uncorrected visual acuity in the left eye was 20/400. The left eye examination by slit lamp microscope with retro-illumination technique showed crystalline lens dislocation into the anterior chamber with golden ring sign and posterior capsular contraction (Figures 1A and 1B). Fundus examination of the left eye revealed mild vitreous hemorrhage. The anterior segment examination and fundus examination of the right eye were unremarkable. Under the diagnosis of crystalline lens dislocation into the anterior chamber with vitreous hemorrhage in the left eye, the patient underwent intracapsular lens extraction and pars plana vitrectomy successfully.
      Figure 1
      Figure 1The slit lamp microscope with retro-illumination technique image of the left eye showing crystalline lens dislocation into the anterior chamber with golden ring sign (white arrowhead) and posterior capsular contraction (white arrow).
      Figure 1
      Figure 1The slit lamp microscope with retro-illumination technique image of the left eye showing crystalline lens dislocation into the anterior chamber with golden ring sign (white arrowhead) and posterior capsular contraction (white arrow).

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