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Emerg Med J 24:e6 doi:10.1136/emj.2006.041533
  • Emergency casebook

Bilateral posterior dislocation of the crystalline lens after a head injury sustained during a seizure

  1. S Izadi1,
  2. R M K Stewart1,
  3. S Jain2
  1. 1Royal Liverpool University Hospital, Liverpool, UK
  2. 2Royal Preston Hospital, Sharoe Green Lane North, Preston, PR2 9HT, UK
  1. Correspondence to:
 S Jain
 Royal Preston Hospital, Sharoe Green Lane North, Preston PR2 9HT, UK; sunila.jain{at}lthtr.nhs.uk
  • Accepted 4 September 2006

Abstract

This article presents a case of bilateral posterior dislocations of the crystalline lens in a patient with epilepsy who presented with reduced vision and anisocoria 2 weeks after having sustained head injuries during a seizure. The possibility of lens dislocation was raised only at this time, and subsequently confirmed on computed tomography. Such patients may require prompt referral to the ophthalmologist to treat complications such as functional aphakia, uveitis and more seriously pupillary block glaucoma. This case highlights the importance of ocular examination of head injuries to rule out possible ophthalmological pathology.

Footnotes

  • Competing interests: None.

  • Informed patient consent received.

Responses to this article

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    • Nicole D Schlautmann
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  • Bilateral posterior dislocation of the crystalline lens
    • Johannes R. M. Cruysberg
    Emerg Med J published online January 5, 2007