Presentation
Admitted post-head trauma. Headache and right-sided vision loss.
Patient Data
Right lens in 9 o'clock position consistent with lens dislocation.
Left frontopatietal subarachnoid hemorrhage and right temporal haemorragic contusion.
Spot image demonstrating right lens in 9 o'clock position (red arrow).
Case Discussion
Ectopia lentis is most commonly seen in patients after a head injury, like in this case.
Other causes and associations include systemic disorders such as Ehlers-Danlos, homocystinuria or Marfan syndrome.
In cases of multiple intracranial abnormalities, pathologies involving the lenses may be easily missed.