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Year : 2012  |  Volume : 60  |  Issue : 1  |  Page : 63-65

Comparison of immersion ultrasonography, ultrasound biomicroscopy and anterior segment optical coherence tomography in the evaluation of traumatic phacoceles

1 Smt. Kannuri Santhamma Centre for Vitreo Retinal Diseases, LV Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, India
2 Cornea and Anterior Segment Services, LV Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, India
3 Ophthalmic Plastic Surgery, Orbit and Ocular Oncology, LV Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, India

Correspondence Address:
Somasheila I Murthy
Cornea and Anterior Segment Service, LV Prasad Eye Institute, LV Prasad Marg, Banjara Hills, Hyderabad - 500034
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.91352

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Blunt ocular trauma in the elderly can result in anterior dislocation of the crystalline lens into the subconjunctival space (phacocele). Although rare, this presentation can be missed, especially if the patient presents several days after the injury and if the lid is not everted on examination. While a careful clinical examination is adequate in the diagnosis, imaging techniques can be put to use for the accurate location of the associated sclera rupture. We report three cases of post-traumatic phacocele wherein ultrasound biomicroscopy (UBM) was compared to the anterior segment optical coherence tomography (AS-OCT) and B-scan ultrasonography (B-scan), in order to establish the best imaging tool for this condition. We concluded, based on image quality, that UBM could be the imaging modality of choice to aid in the diagnosis of phacocele.

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