Images in Clinical Medicine

Dislocation of the Lenses

Sameer K. Mathur, M.D., Ph.D., and Daniel Grodinsky, M.D.

N Engl J Med 2004; 350:e22June 10, 2004

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Article

A 60-year-old man with a history of frequent falls presented after a fall that resulted in minor trauma to the head. A review of systems was remarkable only for the recent onset of intermittent blurry vision, which the patient blamed for his current fall. A computed tomographic (CT) scan of the head that had been obtained three months earlier was available (Panel A). Another CT scan of the head was obtained on presentation and showed bilateral lens dislocations (Panel B, arrows). The lens dislocations were presumably due to repeated trauma and to weakened zonular attachment of the lens. The weakened zonular attachment was probably due to the pseudoexfoliation syndrome.

Sameer K. Mathur, M.D., Ph.D.
Loyola University Medical Center, Maywood, IL 60153

Daniel Grodinsky, M.D.
Hines Veterans Affairs Hospital, Hines, IL 60141

Citing Articles (3)

Citing Articles

1. 1

   C. R. Morris, J. H. Suh, W. Hagar, S. Larkin, D. A. Bland, M. H. Steinberg, E. P. Vichinsky, M. Shigenaga, B. Ames, F. A. Kuypers, E. S. Klings. (2008) Erythrocyte glutamine depletion, altered redox environment, and pulmonary hypertension in sickle cell disease. Blood 111:1, 402-410
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2. 2

   C. R. Morris. (2008) Mechanisms of Vasculopathy in Sickle Cell Disease and Thalassemia. Hematology 2008:1, 177-185
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3. 3

   Mennel, Stefan, Meyer, Carsten H., Kroll, Peter, . (2004) Dislocation of the Lenses. New England Journal of Medicine 351:18, 1913-1914
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