Traumatic Phacocele- A Case Report

Abstract

The term phacocele is derived from a Greek word, where ‘phaco’ denotes lens and ‘kele’ meaning herniation. It is an unusual and very rare clinical condition.^[1]A  blunt  trauma can  result  in a  scleral rupture with  subsequent  dislocation  of  the  crystalline  lens through  the  ruptured  sclera  into  the subconjunctival  or Tenon’s  space  termed  as  phacocele.  Most of the cases of phacocele are due to high impact blunt trauma. The eyeball behaves like  a  fluid  filled  incompressible  structure  and whenever a blunt force sufficient enough in magnitude hits the eyeball, it can either cause a scleral rupture at the  site of impact (direct injury) or somewhere else (indirect injury) associated  rarely  with  dislocation  of  lens  into  the subconjunctival or Tenon’s space. Here, we report a case of Left traumatic phacocele due to trauma by bull’s horn with no history of previous trauma,ocular surgery or Myopia.