Intraocular Lens Dislocation
A 60-year-old man with alcohol and opioid use disorders presented to the emergency department with decreased vision in his right eye after falling down stairs 3 days earlier. On examination, there were abrasions on the right supraorbital area and forehead. The right eye was erythematous, and he reported pain with extraocular movement. The uncorrected vision in the left eye was 20/50, but using the right eye he was unable to count fingers and was able only to detect hand motion and light and to track a finger. A computed tomographic scan of the head and facial bones showed dislocation of the right intraocular lens (arrow). There were no facial bone or orbital wall fractures and no evidence of intracranial hemorrhage. The patient had no other trauma injuries for which intervention was indicated. He was transferred to a tertiary care center for definitive ophthalmologic treatment.