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A 58-year-old male presented with decreasing vision in his right eye, which had suffered a blunt trauma four months earlier. His corrected visual acuity was 0.3 right. Intraocular pressure (IOP) was 38 mmHg. The lens was subluxated along the upper half of the circumference. Perimetry showed a glaucomatous visual field defect. The corneal endothelial cell density had decreased to 640 mm2. In order to protect the corneal endothelium and ciliary body, the authors performed intracapsular lens extraction, anterior vitrectomy, and sulcus-fixated intraocular lens implantation. Visual acuity improved to 1.0 after surgery. IOP has been kept below 15 mmHg with topical medication. There has been no change in the corneal endothelial cell population. This case illustrates that intracapsular lens extraction may be effective in such situations. LA: Japanese
H. Kamimoto, MD, Department of Ophthalmology, Suita Municipal Hospital, 2-13-20 Katayama-cho, Suita-shi, Osaka-fu 564-0082, Japan
9.4.4 Glaucomas associated with disorders of the lens (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)