First Author: A.Liaska GREECE
Co Author(s): E. Makri V. Dimopoulou
Purpose:
to present the management of severe open ocular trauma with cornea penetration, iridodialysis and traumatic cataract
Setting:
Department of Ophthalmology, General Hospital of Lamia, Lamia, Greece
Methods:
62 yo female patient presented at the Emergency Department of the General Hospital of Lamia with vision loss and eye watering after ocular trauma with a piece of wire. The patient had visual acuity Hand Movements and on clinical examintation she presented penetrating trauma of the cornea, iridodialysis (8th-12th h), hyphema and traumatic cataract. There was immediate corneal trauma suturing and anterior chamber reconstruction with OVD under general anaesthesia and the patient was commenced on topical antibiotic and steroid drops. CT of the orbit revealed signs of vitreous haemorrhage. 10 days later the patient underwent uncomplicated phacoemulsification with the use of trypan blue and iris hooks, posterior chamber intraocular lens implantation (in the bag) and suturing of the iris.
Results:
three months postoperatively the patient has VA 5/10 (with pin hole)-corneal sutures on- , round pupil with a slight nasal displacement and IOL in the bag perfectly centered. Ophthalmoscopy revealed remnants of vitreous hemorrhage in the inferior vitreous. .
Conclusions:
in severe ocular trauma, a few days interval between the first immediate operation (suturing) and the subsequent ones can allow the further operations to be performed in a stabilized eye without complications. FINANCIAL DISCLOSURE?: No
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