Popcorn in Eye: A Case of Traumatic Lens Absorption

Ocular trauma is a significant cause of ocular morbidity globally.[1] Spontaneous absorption of the lens has been documented in conditions like uveitis, hypermature cataracts, congenital rubella, leptospirosis, and Down syndrome[2]; however, secondary lens absorption following trauma is rarely reported.[3-5] A 40-year-old male patient came with complaints of decreased vision in his right eye for three months. He also had occasional mild pain in his left eye, which had poor vision since childhood. He reported a history of severe trauma to his left eye 30 years earlier, which had been ignored during childhood. The event was ignored since childhood and thus resulted in a white lesion in his left eye. On examination, visual acuity in his right eye was 6/12, which improved to 6/6 (pinhole). Visual acuity in his left eye was perception of light (PL) negative. Anterior segment examination was normal in the right eye. Anterior segment examination of the left eye showed irregular anterior chamber depth with 1+ cells and a non-reactive pupil with peaking at 9 o’clock position due to adherent leucoma. There was a partially absorbed lens cortex in the anterior chamber [Figure 1]. Intraocular pressure was 16 mm of Hg in the right eye and 10 mm of Hg in the left eye. Fundus examination was normal in the right eye, whereas retinal detachment was present in the left eye. B scan of the left eye showed the presence of long-standing retinal detachment. A diagnosis of neglected ocular contusion of the left eye with partially absorbed lens cortex in the anterior chamber was made. Lens extraction was done from the anterior chamber via a scleral - corneal tunnel incision. The patient was started on antibiotic-steroid eye drops postoperatively. Refraction was done for the right eye, and spectacles were prescribed.Figure 1: Partially absorbed lens cortex in the anterior chamber of the left eyeDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that name and initials will not be published, and due efforts will be made to conceal his identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.