Case reportSurgical management of crystalline lens dislocation into the anterior chamber with corneal touch and secondary glaucomaChoi, Dong-Youk MD; Kim, June-Gone MD, PhD; Song, Byung-Joo MD, PhD*Author Information Department of Ophthalmology, Hanyang University Kuri Hospital, College of Medicine, Hanyang University, Seoul, South Korea *Reprint requests to Byung-Joo Song, MD, Department of Ophthalmology, College of Medicine, Hanyang University Kuri Hospital, #249-1 Kyomun-dong, Kuri-shi, Kyounggi-do, 471-701, South Korea. E-mail:firstname.lastname@example.org. Accepted for publication July 25, 2003. Presented in part at the XXth Congress of the European Society of Cataract & Refractive Surgeons, Nice, France, September 2002. None of the authors has a financial or proprietary interest in any material or method mentioned. Journal of Cataract & Refractive Surgery: March 2004 - Volume 30 - Issue 3 - p 718-721 doi: 10.1016/j.jcrs.2003.07.012 Buy Metrics Abstract We present a 53-year-old man with a crystalline lens that spontaneously dislocated anteriorly with corneal touch and secondary glaucoma. A dry anterior vitrectomy and partial intercapsular lensectomy were performed using a limbal approach to control intraocular pressure (IOP) and decrease the lens volume. The lens capsule was gently separated from the corneal endothelium with viscoelastic material, after which a bimanual lensectomy was performed with a vitrectomy probe and a phacoemulsification microflow tip. The risk for expulsive choroidal hemorrhage, which can occur during large-incision, open-chamber surgery; a sudden IOP decrease; and significant damage to the corneal endothelium were avoided with this technique. After secondary intraocular lens scleral fixation, the final visual acuity was 20/25. © 2004 by Lippincott Williams & Wilkins, Inc.