Lens absorption and aphakia secondary to trauma

Abstract

  In this article we aimed to report a case with lens absorption and aphakia secondary to trauma. A 27-year-old woman presented with low vision and exotropia. Biomicroscopic examination demonstrated no pathology in the right eye. The left eye was aphakic with intact lens capsule and minimal central corneal opacity. The uncorrected visual acuity was 20/20 in the right eye and hand movement in the left eye. The best corrected visual acuity was 20/40 with +12.00 D in her left eye. She had not undergone any eye surgery, however, the parents described a trauma to her left eye at the age of seven. Routine blood tests were within normal range. Our diagnosis was cataractous or clear lens absorption secondary to trauma and sensory exotropia. Following secondary intraocular lens implantation and strabismus surgery, visual acuity of the patient increased and orthophoria was achieved. Consequently, lens absorption should always be considered in cases with aphakia secondary to trauma.