Subluxation of one or both lenses in a child presents the ophthalmologist with a problem entailing a difficult decision. Agnew1 stated in 1885 that cases of subluxation of the lens were embarrassing. They still are. The results of surgical intervention in these cases are by no means uniformly successful. Complications, not only during the operation but in the postoperative period as well, are common and the visual results are often not good. On the other hand, if the lens is allowed to remain where it is, certain serious complications, including glaucoma, may arise.
Vail2 cautions that the eye should be left alone unless specific indications are present for removal of the lens. Among his indications for surgical intervention he includes glaucoma and says that the lens sometimes comes into the anterior chamber, but, in this
HILDING AC. Pupillary Blockage by a Subluxated Lens, Causing Glaucoma. AMA Arch Ophthalmol. 1957;57(1):33-36. doi:10.1001/archopht.1957.00930050037008