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A 57-year-old overseas tourist presented with confusion and deteriorating vision in her right eye. She had a known history of poorly controlled diabetes and an involuted left eye. No further history was obtainable.
Examination of the right eye demonstrated a dislocated crystalline lens, and long-standing tractional retinal detachment.
I performed a B-scan ultrasound of the right eye. When doing this investigation, I often tell patients that “It’s like when you are having a baby”, but this time I was surprised by what I saw! The dislocated crystalline lens and funnel tractional detachment formed an amusing but apt image (Figure).

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©The Medical Journal of Australia 2008 www.mja.com.au PRINT ISSN: 0025-729X ONLINE ISSN: 1326-5377