{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T15:27:14Z","timestamp":1779290834667,"version":"3.51.4"},"reference-count":11,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,3,21]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p>A healthy man in his 40s presented 12 hours after blunt eye trauma with painful vision loss in the right eye. Examination showed an intact crystalline lens dislocated into the anterior chamber and occluding the pupil, with intraocular pressure (IOP) 44 mm Hg. Initial medical stabilisation (oral acetazolamide, topical aqueous suppressants, topical steroids and oral prednisolone 40 mg one time per day) reduced IOP to 16 mm Hg over 72 hours while the cornea remained clear and the anterior chamber depth appeared relatively preserved superiorly.<\/jats:p>\n                  <jats:p>A detailed stepwise supplementary file describing our extraocular needle-guided haptic insertion manoeuvres has been provided as a supplementary file. Postoperatively the intraocular lens was well centred, IOP remained controlled and visual acuity improved progressively.<\/jats:p>","DOI":"10.1136\/bcr-2025-268818","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T14:35:25Z","timestamp":1779287725000},"page":"e268818","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior dislocation of crystalline lens causing pupillary\u2010block (phacotopic) glaucoma following blunt eye trauma"],"prefix":"10.1136","volume":"19","author":[{"given":"Kalyan","family":"Basa","sequence":"first","affiliation":[{"name":"Ophthalmology, JIPMER, puducherry, puducherry, India"},{"name":"Ophthalmology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4784-1248","authenticated-orcid":false,"given":"Aahan","family":"Shah","sequence":"additional","affiliation":[{"name":"Ophthalmology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Stephen","sequence":"additional","affiliation":[{"name":"Ophthalmology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1744-9309","authenticated-orcid":false,"given":"Amit Kumar","family":"Deb","sequence":"additional","affiliation":[{"name":"Ophthalmology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"2026052007351596000_19.5.e268818.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(99)00052-9"},{"key":"2026052007351596000_19.5.e268818.2","first-page":"45","article-title":"Post-traumatic phacotopic glaucoma: a case report","volume":"5","author":"Tripathi","year":"1995","journal-title":"Delhi J Ophthalmol"},{"key":"2026052007351596000_19.5.e268818.3","first-page":"91","article-title":"The lens eclipse: traumatic anterior dislocation of crystalline lens","volume":"17","author":"Redd","year":"2024","journal-title":"Int J Ophthalmol"},{"key":"2026052007351596000_19.5.e268818.4","doi-asserted-by":"crossref","first-page":"747","DOI":"10.4103\/ijo.IJO_296_17","article-title":"Extraocular needle- guided haptic insertion technique of scleral fixation intraocular lens surgeries (X-NIT)","volume":"65","author":"Baskaran","year":"2017","journal-title":"Indian J Ophthalmol"},{"key":"2026052007351596000_19.5.e268818.5","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1016\/j.ajo.2024.10.005","article-title":"Peripheral Iridectomy in Intrascleral Intraocular Lens Fixation: Preventing Reverse Pupillary Block","volume":"269","author":"Ucar","year":"2025","journal-title":"Am J Ophthalmol"},{"key":"2026052007351596000_19.5.e268818.6","first-page":"66","article-title":"Traumatic anterior dislocation of capsular bag\u2013posterior chamber intraocular lens complex","volume":"158","author":"Gupta","year":"2022","journal-title":"Int J Ophthalmol"},{"key":"2026052007351596000_19.5.e268818.7","first-page":"12","article-title":"Pars plana lensectomy indications in traumatic ectopia lentis","volume":"245","author":"Cui","year":"2021","journal-title":"Ophthalmologica"},{"key":"2026052007351596000_19.5.e268818.8","first-page":"121","article-title":"Traumatic phacotopic glaucoma: mechanisms and management","volume":"35","author":"Mohammadi","year":"2022","journal-title":"Ophthalmol Clin"},{"key":"2026052007351596000_19.5.e268818.9","first-page":"903","article-title":"Traumatic anterior dislocation of the crystalline lens in a quiet eye","volume":"33","author":"Lee","year":"2019","journal-title":"Eye (Lond)"},{"key":"2026052007351596000_19.5.e268818.10","unstructured":"Mohseni M , Blair K , Gurnani B , et al . Blunt eye trauma. In: StatPearls. FL: StatPearls Publishing, 2025."},{"key":"2026052007351596000_19.5.e268818.11","unstructured":"Qi N . Lens-induced glaucomas. EyeWiki Ophthalmology; 2023. Available: https:\/\/eyewiki.aao.org\/Lens_induced_glaucoma"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268818","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T14:35:27Z","timestamp":1779287727000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268818"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":11,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5,20]]},"published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1136\/bcr-2025-268818"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268818","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]}}}