DR. VEDANT RAJORIYA

, Dr.MEHUL SHAH, Dr. SHREYA SHAH, DR. SAKSHI MAKHLOGA

Abstract

INTRODUCTION: PHACOCELE IS DEFINED AS DISLOCATION OF LENS INTO SUBCONJUNCTIVAL SPACE THROUGH SCLERAL DEFECT. INCIDENCE IS ONLY 13% AMONG ALL CASES OF LENS DISLOCATION. INCREASED SCLERAL RIGIDITY AND HARD NUCLEUS PREDISPOSES TO THE DEVELOPMENT OF PHACOCELE. DISLOCATION OF INTRAOCULAR LENS IS TERMED AS PSEUDOPHACOCELE. WE REPORT PATIENTS WITH TRAUMATIC PHACOCELE WITH AN AIM TO EVALUATE THE CLINICAL PRESENTATION, MANAGEMENT AND VISUAL OUTCOME.

METHOD: THE VIDEO DEMONSTRATES DIFFERENT PRESENTATIONS OF PHACOCELE. ALL PATIENTS UNDERWENT WOUND EXPLORATION, LENS REMOVAL, ANTERIOR VITRECTOMY, AND SCLERAL WOUND REPAIR. ALMOST ALL CASES WERE TREATED WITH SCLERAL-TUCK IOL.

CONCLUSION: WE WOULD LIKE TO EMPHASIZE THAT THOUGH MOST COMMON VICTIMS OF BLUNT TRAUMA ARE YOUNG INDIVIDUALS, PHACOCELE IS SEEN MORE FREQUENTLY AT LATER AGE BECAUSE OF INCREASED SCLERAL RIGIDITY AND HARD LENS. TIMELY AND EFFECTIVE INTERVENTION CAN ENSURE GOOD VISUAL RECOVERY.