Citation

AlShehri OA, Almarzouki H, Alharbi BA, Alqahtani M, Allam K. GMS Ophthalmol. Cases 2017; 7: Doc26.

Affiliation

King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Science, King Abdulaziz Medical City, National Guard Hospital, Jeddah, Saudi Arabia.

Copyright

(Copyright © 2017, German Medical Science)

DOI

10.3205/oc000077

PMID

29082121

PMCID

PMC5655977

Abstract

INTRODUCTION: Ectopia lentis is defined as a crystalline lens displacement, either partially or completely, due to zonular abnormalities. It can be a result of trauma, hereditary ocular disease, or part of systemic diseases, like Marfan syndrome and homocystinuria. Case description: We report a case of a medically free 16-year-old girl, who was referred to our hospital complaining of poor vision and a squint in both eyes since childhood. Her history included a traffic accident when she was one-year-old. She was previously diagnosed with alternating esotropia, which was treated with glasses, alternating patching, and bilateral Botox injections. On examination, she had a visual acuity of 6/7.5 with correction in the right eye and 6/6 with correction in the left eye. She had an esotropia of 60 prism diopters, which was partially corrected to 40 prism diopters for near and distance vision. Fundus examination showed myopic changes in each eye and dislocated lenses in the posterior pole at 6 o'clock. Our case was stable, so we used conservative management with contact lenses.

CONCLUSION: Bilateral posterior lens dislocation is very rare. A proper examination is important and early diagnosis can prevent serious complications, such as retinal detachment or pupillary block glaucoma.

Language: en

Keywords

bilateral lens dislocation; ectopic lentis; lens displacement