{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:40:39Z","timestamp":1786534839130,"version":"build-2736575974"},"reference-count":22,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Background\/Objectives: Chronic traumatic posterior lens dislocation may cause ocular hypertension through overlapping lens-induced and traumatic mechanisms. We report a delayed presentation with a dislocated hypermature lens, a phacolytic phenotype, an incomplete capsule, and severe pressure elevation persisting after lens removal. Case Presentation: A 47-year-old man presented 5 years after blunt trauma with pain, redness, and blurred vision. Visual acuity was hand motion at 10 cm, and intraocular pressure (IOP) was 44.1 mmHg. Slit-lamp examination showed corneal edema, milky material in a deep anterior chamber, and the cataractous lens behind the iris. Ultrasonography localized the lens but could not assess capsular integrity or angle anatomy. Mixed lens-induced glaucoma with possible phacolytic, lens-particle, and traumatic components was diagnosed. Two days after 25-gauge pars plana vitrectomy and lensectomy, IOP remained 45.3 mmHg despite intensive therapy, prompting trabeculectomy with mitomycin C. At 6 months, IOP was 20.1 mmHg on three agents (qualified success), and vision remained hand motion at 30 cm with persistent corneal edema, aphakia, and suspected optic-nerve damage. Conclusions: Persistent IOP elevation after the removal of visible lens material suggested established trabecular or traumatic outflow dysfunction. Incomplete characterization of the capsule and angle precluded the assignment of a single mechanism.<\/jats:p>","DOI":"10.3390\/diagnostics16162545","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T11:02:11Z","timestamp":1786532531000},"page":"2545","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic Challenge of Mixed Lens-Induced Glaucoma After Chronic Traumatic Posterior Lens Dislocation: A Case Report"],"prefix":"10.3390","volume":"16","author":[{"given":"Tsu-Yuan","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Taipei City Hospital, Renai Branch, No. 10, Sec. 4, Ren\u2019ai Rd., Da\u2019an Dist., Taipei City 106243, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po-Chen","family":"Tseng","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Taipei City Hospital, Renai Branch, No. 10, Sec. 4, Ren\u2019ai Rd., Da\u2019an Dist., Taipei City 106243, Taiwan"},{"name":"Department of Special Education, University of Taipei, No. 1, Aiguo W. Rd., Zhongzheng Dist., Taipei City 100234, Taiwan"},{"name":"Department of Optometry, University of Kang-Ning, No. 137, Lane 75, Sec. 3, Kangning Rd., Neihu Dist., Taipei City 114311, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4004-2718","authenticated-orcid":false,"given":"Chu-Yu","family":"Yen","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Taipei City Hospital, Renai Branch, No. 10, Sec. 4, Ren\u2019ai Rd., Da\u2019an Dist., Taipei City 106243, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"NP32","DOI":"10.1177\/1120672119841972","article-title":"Phacolytic glaucoma: A nearly forgotten entity","volume":"30","author":"Dhingra","year":"2020","journal-title":"Eur. J. 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