Traumatic dislocation of the iris into the vitreous cavity with intact lens: a case report
Abstract Background Traumatic aniridia occurs when the iris is extruded from the eye and is often accompanied by lens injuries. However, traumatic aniridia due to dislocation of the iris into the vitreous cavity without lens damage has never been reported. Case presentation A 30-year-old man present...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-023-03105-x |
| _version_ | 1797453452268273664 |
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| author | Hai-Nan Xie Lan-Lan Chen Rui Wang Zhi-Hong Zhu Hou-Bin Huang |
| author_facet | Hai-Nan Xie Lan-Lan Chen Rui Wang Zhi-Hong Zhu Hou-Bin Huang |
| author_sort | Hai-Nan Xie |
| collection | DOAJ |
| description | Abstract Background Traumatic aniridia occurs when the iris is extruded from the eye and is often accompanied by lens injuries. However, traumatic aniridia due to dislocation of the iris into the vitreous cavity without lens damage has never been reported. Case presentation A 30-year-old man presented with visual loss and pain for 6 h after a thin wire injured his right eyeball. Ophthalmologic examinations manifested a 2 mm full-thickness corneal laceration and total hyphema. An intact clear lens, healthy attached retina, and almost complete iris tissue in the vitreous cavity were found after resolution of hyphema the next day. Further examination revealed that the defect in the zonule below the corneal wound was the path for the iris to enter the vitreous cavity. The patient opted for nonsurgical treatment until pigment granules and opacity were observed in the vitreous cavity after 50 days. Vitrectomy was performed to remove the dislocated iris. Conclusions The presentation of this unique case indicates that the torn iris was displaced to the vitreous cavity with an intact lens and missing local zonula instead of out the corneal laceration after a penetrating injury. The type of injury, mechanism, and force on the spot may contribute to the occurrence of this rare condition. Instead of artificial irises, tinted glasses were more appropriate treatment option for this patient. Peripheral retinal examination was essential in the management of this case. In such cases, the iris in the vitreous cavity should be resected to prevent complications. |
| first_indexed | 2024-03-09T15:23:01Z |
| format | Article |
| id | doaj.art-0387fde6fa484beb9dce93a648497282 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-03-09T15:23:01Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-0387fde6fa484beb9dce93a6484972822023-11-26T12:40:24ZengBMCBMC Ophthalmology1471-24152023-08-012311510.1186/s12886-023-03105-xTraumatic dislocation of the iris into the vitreous cavity with intact lens: a case reportHai-Nan Xie0Lan-Lan Chen1Rui Wang2Zhi-Hong Zhu3Hou-Bin Huang4Department of Ophthalmology, Hainan Hospital of Chinese PLA General HospitalDepartment of Ophthalmology, Hainan Hospital of Chinese PLA General HospitalDepartment of Ophthalmology, Hainan Hospital of Chinese PLA General HospitalDepartment of Ophthalmology, Hainan Hospital of Chinese PLA General HospitalDepartment of Ophthalmology, Hainan Hospital of Chinese PLA General HospitalAbstract Background Traumatic aniridia occurs when the iris is extruded from the eye and is often accompanied by lens injuries. However, traumatic aniridia due to dislocation of the iris into the vitreous cavity without lens damage has never been reported. Case presentation A 30-year-old man presented with visual loss and pain for 6 h after a thin wire injured his right eyeball. Ophthalmologic examinations manifested a 2 mm full-thickness corneal laceration and total hyphema. An intact clear lens, healthy attached retina, and almost complete iris tissue in the vitreous cavity were found after resolution of hyphema the next day. Further examination revealed that the defect in the zonule below the corneal wound was the path for the iris to enter the vitreous cavity. The patient opted for nonsurgical treatment until pigment granules and opacity were observed in the vitreous cavity after 50 days. Vitrectomy was performed to remove the dislocated iris. Conclusions The presentation of this unique case indicates that the torn iris was displaced to the vitreous cavity with an intact lens and missing local zonula instead of out the corneal laceration after a penetrating injury. The type of injury, mechanism, and force on the spot may contribute to the occurrence of this rare condition. Instead of artificial irises, tinted glasses were more appropriate treatment option for this patient. Peripheral retinal examination was essential in the management of this case. In such cases, the iris in the vitreous cavity should be resected to prevent complications.https://doi.org/10.1186/s12886-023-03105-xTraumatic aniridiaPenetrating ocular traumaIridodialysisArtificial irisCase report |
| spellingShingle | Hai-Nan Xie Lan-Lan Chen Rui Wang Zhi-Hong Zhu Hou-Bin Huang Traumatic dislocation of the iris into the vitreous cavity with intact lens: a case report BMC Ophthalmology Traumatic aniridia Penetrating ocular trauma Iridodialysis Artificial iris Case report |
| title | Traumatic dislocation of the iris into the vitreous cavity with intact lens: a case report |
| title_full | Traumatic dislocation of the iris into the vitreous cavity with intact lens: a case report |
| title_fullStr | Traumatic dislocation of the iris into the vitreous cavity with intact lens: a case report |
| title_full_unstemmed | Traumatic dislocation of the iris into the vitreous cavity with intact lens: a case report |
| title_short | Traumatic dislocation of the iris into the vitreous cavity with intact lens: a case report |
| title_sort | traumatic dislocation of the iris into the vitreous cavity with intact lens a case report |
| topic | Traumatic aniridia Penetrating ocular trauma Iridodialysis Artificial iris Case report |
| url | https://doi.org/10.1186/s12886-023-03105-x |
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