Kocaeli Med J. 2023; 12(3): 414-416 | DOI: 10.5505/ktd.2023.75725

Phacocele Developing in a Patient With an Unknown Trauma History: A Case Report

Kübra Çetinkaya¹, Yara Chiekhismailzadeh¹, Ýbrahim Çoban¹, Gizem Gürbostan Soysal², Oðuzhan Saygýlý^1
1Department Of Ophthalmology,gaziantep Univercity
²Department Of Ophthalmology,dr. Ersin Arslan Research And Training Hospital

We present a case of phacocele that developed in an 83-year-old male patient with vision loss after discharge from the intensive care unit. The patient's initial examination revealed severe conjunctival chemosis and aphakia. In the posterior segment examination, vitreous hemorrhage was observed, and the lens could not be localized. In the second control of the patient, it was observed that chemosis decreased, perilimbal scleral perforation was observed between 11 and 13 oclock, and the iris tissue occluded the perforation. The crystalline lens was clearly visible in the nasal subconjunctival area. In the treatment, subconjunctival crystal lens was removed, scleral perforation was repaired, and iol implantation was performed with scleral fixation.

Keywords: Subconjunctival crystalline lens, Phacocele, Globe penetration

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Travma Öyküsü Bilinmeyen Bir Hastada Geliþen Fakosel: Olgu Sunumu

Kübra Çetinkaya¹, Yara Chiekhismailzadeh¹, Ýbrahim Çoban¹, Gizem Gürbostan Soysal², Oðuzhan Saygýlý^1
1Gaziantep Üniversitesi Týp Fakültesi Göz Hastalýklarý Ana Bilim Dalý
²Dr. Ersin Arslan Eðitim Ve Araþtýrma Hastanesi Göz Hastalýklarý Kliniði

Yoðun bakým taburculuðu sonrasý görme kaybý olan 83 yaþýndaki bir erkek hastada geliþen fakosel olgusunu sunuyoruz. Hastanýn ilk muayenesinde, ciddi konjonktival kemozis ve afaki olduðu görüldü. Arka segment muayenesinde ise vitre içi hemoraji olduðu görüldü ve lens lokalize edilemedi. Hastanýn ikinci kontrolünde kemozisin azaldýðý, saat 11-13 arasýnda perilimbal skleral perforasyon olduðu ve iris dokusunun perforasyon alanýný kapattýðý görüldü. Kristalin lens ise nazal subkonjonktival alanda belirgin þekilde seçiliyordu. Tedavide subkonjonktival kristalin lens çýkarýldý, skleral perforasyon onarýldý ve skleral fiksasyon ile iol implantasyonu uygulandý.

Anahtar Kelimeler: Subkonjonktival kristalin lens, Fakosel, Glob penetrasyonu

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