• Jie-Ying Guan, Yun-Cheng Ma, Ying-Ting Zhu, Ling-Ling Xie, Mireayi Aizezi, Ye-Hong Zhuo, and Aizezi Wumaier.
• Kashgar Hospital Affiliated to Sun Yat-sen University, Xinjiang, China.
• Medicine (Baltimore). 2022 Sep 2; 101 (35): e30428.

IntroductionHypermature cataract is a form of late-stage cataract progression that can lead to a variety of complications. Spontaneous capsular rupture with lens nucleus displacement in hypermature cataracts has rarely been reported. We describe 2 cases of spontaneous dislocation of the lens nucleus in a hypermature cataract and perform a review of the literature on this complication.Patient ConcernsWe report 2 rural men aged 50 and 76 years with deteriorating vision.DiagnosisThe final diagnosis was senile hypermature cataract with dislocation of the lens nucleus in both patients and secondary glaucoma for the second patient.Interventions And OutcomesDuring admission, both patients complained of deteriorating vision. Slit-lamp examination showed lens nucleus dislocation into the anterior chamber. The 50-year-old patient exhibited a residual lens capsule and a turbid cortex, with a normal anterior chamber and intraocular pressure. The 76-year-old patient presented a shrunken and ruptured capsule and no cortex in the pupillary area, mild inflammation in the anterior chamber, and high intraocular pressure. Both patients underwent intracapsular cataract extraction combined with anterior vitrectomy and achieved good postoperative recovery.ConclusionLens nucleus dislocation in hypermature cataracts can be seen in clinical practice, particularly in underdeveloped areas. Early recognition and surgery can improve vision.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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