Bilateral Traumatic Anterior Crystalline Lens Dislocation by Watersplash during Songkran Festival: Case Report
Paradee Kunavisarut MD*, Chumpon Intarated MD*, Kessara Pathanapitoon MD*
Affiliation : * Department of Ophthalmology, Chiang Mai University, Chiang Mai, Thailand
Objective : To report a case of bilateral anterior dislocated crystalline lens from water splash during the
Songkran festival.
Material and Method: A healthy 46-year-old woman with a previous history of having water thrown to her
face at the Songkran festival complained of acute bilateral painful visual loss. On examination, visual acuity
was 0.1 OD, 0.2 OS, and both eyes revealed anterior dislocated crystalline lens with blood in anterior
chamber. Her intraocular pressure (IOP) was 8 mmHg OD and 47 mmHg OS. She was initially treated with
medication for controlling IOP and inflammation. Eventually, she underwent pars plana vitrectomy, pars
plana lensectomy, and scleral-fixated intraocular lens (SF-IOL) in both eyes.
Results : The dislocated lens was successfully removed and visual acuity was 0.7 OD and 0.9 OS at 9 months
follow-up.
Conclusion : Water splash can be associated with anterior lens dislocation and secondary glaucoma. Aware-
ness, careful examination, and prompt referral to an ophthalmologist can prevent complications and preserve
the patient’s vision.
Keywords : Traumatic anterior lens dislocation, Water splash, Songkran festival
