Bilateral lens subluxation associated with atopic

PU R P O S E. Ectopia lentis remains a therapeutic challenge for ophthalmologists. It classically p resents with a preceding history of blunt or penetrating ocular trauma, or it may be associated with other ocular disorders such as congenital glaucoma and aniridia, or concomitant here d i t a ry systemic diseases such as Marfan syndrome and homocystinuria. ME T H O D S. Case re p o r t . RE S U LT S. The authors describe a previously unreported mechanism of ocular trauma associated with continuous eye rubbing, resulting in bilateral re c u r rent subluxation of both intraocular lens and crystalline lens. CO N C L U S I O N S. It is useful for the ophthalmologist to be aware of this uncommon cause of ectopia lentis, since early advice and appropriate medical or surgical intervention may prevent more severe, sight-threatening complications. (Eur J Ophthalmol 2005; 15: 4 0 91 0 )