{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T06:10:08Z","timestamp":1777270208227,"version":"3.51.4"},"reference-count":7,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,12,17]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>A 7-year-old girl presented with watering and redness in the left eye for 2 months. Her parents reported poor vision in both eyes for 4 years. Visual acuity was finger counting at 1 m and finger counting close to face in the right and left eyes, respectively. Slit lamp examination of the right eye revealed corectopia, aphakia in the pupillary area, temporally subluxated clear crystalline lens, persistent pupillary membrane, irido-hyaloidal adhesion and poorly dilating pupil. Left eye revealed central corneal oedema with descemet scarring, anteriorly dislocated clear crystalline lens with lenticulo-corneal touch. Ultrasound examination of the left eye was normal. Hence a diagnosis of ectopia lentis et pupillae with left eye spontaneous anterior dislocation of the lens along with corneal decompensation was made. The child underwent microscope integrated intraoperative optical coherence tomography guided intralenticular lens aspiration with optical iridectomy in the left eye. Postoperative visual rehabilitation was done with aphakic glasses.<\/jats:p>","DOI":"10.1136\/bcr-2018-227047","type":"journal-article","created":{"date-parts":[[2019,1,19]],"date-time":"2019-01-19T04:45:14Z","timestamp":1547873114000},"page":"bcr-2018-227047","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Spontaneous anterior dislocation of lens in a case of ectopia lentis et pupillae: a rare entity treated by a novel technique of microscope integrated optical coherence tomography (MIOCT) guided intralenticular lens aspiration"],"prefix":"10.1136","volume":"12","author":[{"given":"Pranita","family":"Sahay","sequence":"first","affiliation":[{"name":"Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalathil Reshmi","family":"Shaji","sequence":"additional","affiliation":[{"name":"Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prafulla Kumar","family":"Maharana","sequence":"additional","affiliation":[{"name":"Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeewan S","family":"Titiyal","sequence":"additional","affiliation":[{"name":"Ophthalmology, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,1,18]]},"reference":[{"key":"2025082709052724000_12.1.bcr-2018-227047.1","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1016\/S0886-3350(02)01529-8","article-title":"Management of bilateral anterior dislocation of a lens in a child with Marfan\u2019s syndrome","volume":"29","author":"Vasavada","year":"2003","journal-title":"J Cataract Refract Surg"},{"key":"2025082709052724000_12.1.bcr-2018-227047.2","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.jfo.2015.09.013","article-title":"[Anterior dislocation of a hypermature cataract]","volume":"39","author":"Lezrek","year":"2016","journal-title":"J Fr Ophtalmol"},{"key":"2025082709052724000_12.1.bcr-2018-227047.3","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1016\/S0161-6420(88)33043-5","article-title":"Clinical manifestations of ectopia lentis et pupillae in 16 patients","volume":"95","author":"Goldberg","year":"1988","journal-title":"Ophthalmology"},{"key":"2025082709052724000_12.1.bcr-2018-227047.4","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.79.2.135"},{"key":"2025082709052724000_12.1.bcr-2018-227047.5","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.28.11.791"},{"key":"2025082709052724000_12.1.bcr-2018-227047.6","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1016\/j.jcrs.2004.11.043","article-title":"Intralenticular bimanual irrigation: aspiration for subluxated lens in Marfan\u2019s syndrome","volume":"31","author":"Sinha","year":"2005","journal-title":"J Cataract Refract Surg"},{"key":"2025082709052724000_12.1.bcr-2018-227047.7","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1001\/jamaophthalmol.2015.2376","article-title":"Determination of feasibility and utility of microscope-integrated optical coherence tomography during ophthalmic surgery: the DISCOVER Study RESCAN Results","volume":"133","author":"Ehlers","year":"2015","journal-title":"JAMA Ophthalmol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-227047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:05:32Z","timestamp":1756310732000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-227047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,18]]},"published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1136\/bcr-2018-227047"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-227047","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}