Abstracto

Traumatic phacocele: Case report and its peculiarities.

Gabriel Castilho Sandoval Barbosa, Thiago José Muniz Machado Mazzeo, Allan Gomes da Silva, Luciano Fuzzato Filho, Rafael Garcia, Cleide Guimarães Machado, André Marcelo Vieira Gomes

Subconjunctival dislocation of the crystalline lens is known as phacocele. Most cases of phacocele are associated with blunt trauma, the existence of scleral rigidity, hard crystalline lens, and history of scleral surgery. We report a case of a 45-year-old man who had been through an ocular blunt trauma with an iron bar, and consequent traumatic phacocele with a scleral defect. B-scan ultrasonography of the posterior segment revealed absence of lens spike in the axial scan, confirming the diagnosis. Successfully explorative surgery with pars plana vitrectomy was performed under retrobulbar anesthesia, and the eye was left primarily aphakic for better surgical preparation in a second approach.