Management of Post-Trauma Suprachoroidal Lens Dislocation

In this video, Dr. Payal Shah and colleagues present a case of suprachoroidal dislocation of a crystalline lens. The 36-year-old patient who was involved in a car accident, resulting in multiple fractures and ocular trauma. Three months later, he had light perception vision in both eyes/ On examination, his right eye showed dispersed blood in anterior chamber. There was no view of fundus due to dense vitreous hemorrhage.

Upon clearing the vitreous hemorrhage, the surgeons found dense temporal scar tissue. After clearing the scar with cutter, they could visualize the lens that had dislocated into the suprachoroidal space. The lens was removed, and a buckle was placed to support the temporal traction caused by the taut contracted choroid. Postoperatively, the patient’s vision improved to 20/120 at 3 months. His left eye was subsequently operated due to closed funnel retinal detachment.

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