Unilateral fronto-temporal headache with ocular pain caused by lens subluxation due to spontaneous zonulysis

A 52-year-old man presented to the emergency department (ED) for left frontotemporal headache and left eye pain. In the ED, visual exam with extra-ocular movement was performed to rule out ocular pathology and brain imaging to rule out cerebral pathology. No abnormal finding was noted after evaluati...

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Main Authors: Taejin Park, Gyuman Choi
Format: Article
Language:English
Published: The Korean Society of Emergency Medicine 2015-06-01
Series:Clinical and Experimental Emergency Medicine
Subjects:
Online Access:http://www.ceemjournal.org/upload/pdf/ceem-15-031.pdf
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author Taejin Park
Gyuman Choi
author_facet Taejin Park
Gyuman Choi
author_sort Taejin Park
collection DOAJ
description A 52-year-old man presented to the emergency department (ED) for left frontotemporal headache and left eye pain. In the ED, visual exam with extra-ocular movement was performed to rule out ocular pathology and brain imaging to rule out cerebral pathology. No abnormal finding was noted after evaluation of ED. Initial exam by an ophthalmologist was also negative with normal intraocular pressure. Left lens dislocation was found only after brain imaging. In subsequent second exam by an ophthalmologist with iridodilator, lens dislocation due to spontaneous zonulysis was finally confirmed. Hence, ED physicians should carefully review ocular as well as brain anatomy in such cases.
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spelling doaj.art-c526636390d145f3a38a56531630dd5b2023-02-23T05:29:30ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252015-06-012213313610.15441/ceem.15.03146Unilateral fronto-temporal headache with ocular pain caused by lens subluxation due to spontaneous zonulysisTaejin Park0Gyuman Choi1 Department of Emergency Medicine, National Medical Center, Seoul, Korea Department of Emergency Medicine, National Medical Center, Seoul, KoreaA 52-year-old man presented to the emergency department (ED) for left frontotemporal headache and left eye pain. In the ED, visual exam with extra-ocular movement was performed to rule out ocular pathology and brain imaging to rule out cerebral pathology. No abnormal finding was noted after evaluation of ED. Initial exam by an ophthalmologist was also negative with normal intraocular pressure. Left lens dislocation was found only after brain imaging. In subsequent second exam by an ophthalmologist with iridodilator, lens dislocation due to spontaneous zonulysis was finally confirmed. Hence, ED physicians should carefully review ocular as well as brain anatomy in such cases.http://www.ceemjournal.org/upload/pdf/ceem-15-031.pdflens subluxationspontaneous zonulysisheadacheocular pain
spellingShingle Taejin Park
Gyuman Choi
Unilateral fronto-temporal headache with ocular pain caused by lens subluxation due to spontaneous zonulysis
Clinical and Experimental Emergency Medicine
lens subluxation
spontaneous zonulysis
headache
ocular pain
title Unilateral fronto-temporal headache with ocular pain caused by lens subluxation due to spontaneous zonulysis
title_full Unilateral fronto-temporal headache with ocular pain caused by lens subluxation due to spontaneous zonulysis
title_fullStr Unilateral fronto-temporal headache with ocular pain caused by lens subluxation due to spontaneous zonulysis
title_full_unstemmed Unilateral fronto-temporal headache with ocular pain caused by lens subluxation due to spontaneous zonulysis
title_short Unilateral fronto-temporal headache with ocular pain caused by lens subluxation due to spontaneous zonulysis
title_sort unilateral fronto temporal headache with ocular pain caused by lens subluxation due to spontaneous zonulysis
topic lens subluxation
spontaneous zonulysis
headache
ocular pain
url http://www.ceemjournal.org/upload/pdf/ceem-15-031.pdf
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