Open Globe Injury with Corneal Laceration Full-Thickness, Anterior Lens Capsule Rupture, and Traumatic Cataract
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Introduction: Ocular trauma is a common, preventable cause of visual impairment. Mechanical eye injuries affect the eye in many ways ranging from mild to severe morbidity. In this case, we inform the sequence of what we found in this ocular trauma and how we treat this case. Case Presentation: A 26-year-old male patient presented with pain and stiffness in the right eye. The patient was involved in an accident 16 hours before being admitted to the emergency room. Previously, the patient had been taken to a secondary hospital. No medications were given. The patient was referred directly to a tertiary hospital for further management. The visual acuity of the right eye and left eye were 1/300 and 6/6. Soft palpation indicated decreased intraocular pressure (IOP) on the right eye. Slit lamp examination found conjunctival hyperemia, full-thickness corneal laceration, irregular iris, posterior synechiae, declining pupil reflex, and hazy lens. Fundus reflex declined. The right eyeball exploration showed a membrane at the camera oculi anterior and a suspected hazy lens with mass and capsule of the lens. Doubtful prognosis on the right eyeball. Conclusions: The outcome of ocular trauma might be debatable and vary in any condition. Proper management can avoid unprecedented complications and improve patient visual results. A good perspective will also make satisfied both the patient and the physician.
Agrawal R, Shah M, Mireskandari K, Yong GK. Controversies in ocular trauma classification and management: review. Int Ophthalmol 2013;33:435–445. https://doi.org/10.1007/s10792-012-9698-y.
Rahman S, Hossain A, Alam S, Rahman A, Sultana C, Khan YJ, et al. Mechanical eye trauma epidemiology, prognostic factors, and management controversies”An update. Open J Ophthalmol 2021;11:348–363. https://doi.org/10.4236/ojoph.2021.114029.
Riordan-Eva P, Augsburger JJ, editors. Vaughan & Asbury's General Ophtalmology. 19th ed. China: McGraw-Hill Education; 2018.
Rajsic S, Breitkopf R, Bachler M, Treml B. Diagnostic modalities in critical care: Point-of-care approach. diagnostics 2021;11:2202. https://doi.org/10.3390/diagnostics11122202.
Mohseni M, Blair K, Gurnani B, Bragg BN. Blunt Eye Trauma. Stat Pearls [Internet] 2023. https://www.ncbi.nlm.nih.gov/books/NBK470379/ (accessed April 4, 2023).
Lee C-H, Lee L, Kao L-Y, Lin K-K, Yang M-L. Prognostic indicators of open globe injuries in children. Am J Emerg Med 2009;27:530–535. https://doi.org/10.1016/j.ajem.2008.04.004.
Bisplinghoff JA. High-Rate Internal pressurization of human eyes to predict globe rupture. Archives of Ophthalmology 2009;127:520. https://doi.org/10.1001/archophthalmol.2008.614.
Kumar K, Figurasin R, Kumar S, Waseem M. An uncommon meridional globe rupture due to blunt eye trauma. Case Rep Emerg Med 2018;2018:1–3. https://doi.org/10.1155/2018/1808509.
Gopal Pradeep T, Rameshbabu Honniganur D. Anterior segment trauma: The fundamentals of management. Vision Correction and Eye Surgery, IntechOpen; 2022. https://doi.org/10.5772/intechopen.101610.
Guthoff RF, Beck R. Mechanical ocular trauma. Curr Opin Ophthalmol 1994;5:105–109. https://doi.org/10.1097/00055735-199408000-00015.
Kirkness CM. Mechanical ocular trauma. Curr Opin Ophthalmol 1993;4:106–111. https://doi.org/10.1097/00055735-199308000-00016.
Wagner PJ, Lang GK. Mechanical ocular trauma. Curr Opin Ophthalmol 1996;7:57–64. https://doi.org/10.1097/00055735-199608000-00011.
van der Westhuizen DP, Stuart KV. Bilateral spontaneous anterior lens capsule ruptures in a child: A rare presentation of Alport syndrome. Am J Ophthalmol Case Rep 2020;20:100896. https://doi.org/10.1016/j.ajoc.2020.100896.
Haavisto A-K, Sahraravand A, Puska P, Leivo T. Eye injuries caused by wooden projectiles in Finland. Wilderness Environ Med 2022;33:284–289. https://doi.org/10.1016/j.wem.2022.03.008.
Dewi GN, Karunika AR, Trisihono. Triple procedures for mechanical ocular trauma. Vision Science and Eye Health Journal 2023;2:45–48. https://doi.org/10.20473/vsehj.v2i2.2023.45-48.
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