Abstract
27 year-old male patient presented with history of trauma to his left eye one month back sustained with pin of a rifle while cleaning the weapons in his unit. Post injury, he developed pain, redness and diminution of vision in the left eye. Vision at presentation was 6/6 unaided in the right eye and 6/24 in the left eye with no further improvement. Lids and adnexa were normal with no retained foreign body in both eyes. Right eye anterior segment and fundus evaluation was normal. Left eye had clear cornea, no cells and flare in AC, no hyphema. Pupillary reactions were normal, no iris sphincter tear was seen. Rosette shaped cataract was seen. Fundus examination was normal. Phacoemulsification with Intraocular lens implantation was done. Post-operative day vision was 6/6 unaided, clear cornea, mild AC reaction normal reacting pupil with well centred IOL in capsular bag. IOP was 16 and 19 mm Hg. Patient was placed on topical antibiotic and steroid eye drops. He has been kept on regular follow-up.
Keywords: Rosette cataract, Closed globe injury, Irrigation/Aspiration.
References
- Serna-Ojeda JC et al. Int Ophthalmol. 2015; 35(4):451-458.
- Négrel AD, Thylefors B. Ophthalmic Epidemiol. 1998;5(3):143-169.
- Kuhn F, Morris R, Witherspoon CD, et al. The Birmingham eye trauma terminology system (BETT). J Fr Ophtalmol 2004;27 (2):206-10.
- Mian ST, Azar DT, Colby K. Managment of traumatic cataracts. Int Ophthalmol Clin 2002; 42:23-31.
- Mester V, Kuhn F. Lens. In: Kuhn F, Pieramici DJ, editors. Ocular trauma: principles and practice. New York (NY): Thieme; 2002.
- Mehul AS, Shreya MS, Shashank BS, Patel UA. Effect of interval between time of injury and timing of intervention on final visual outcome in cases of traumatic cataract. Eur J Ophthalmol 2011; 21:760-5.
- Shah, M. A., S. M. Shah, Shashank Shah et al. Morphology of traumatic cataract: does it play a role in final visual outcome? BMJ Open 2011;1: e000060.
- Sminia ML, Odenthal MT, Wenniger-Prick LJ, Gortzak-Moorstein N, Völker-Dieben HJ. Traumatic paediatric cataract: a decade of follow-up after artisan aphakia intraocular lens implantation. J AAPOS 2007; 11:555-8. Epub 2007 Aug 27.
- Buckley EG. Hanging by a thread: The long-term efficacy and safety of transscleral sutured intraocular lenses in children (an American Ophthalmological Society thesis). Trans Am Ophthalmol Soc 2007; 105:294-311.
- Bekibele CO, Fasina O. Visual outcome of traumatic cataract surgery in Ibadan, Nigeria. Niger J Clin Pract 2008;11(4): 372-5.
- Mohammadpour M, Jafarinasab MR, Javadi MA. Outcomes of acute postoperative inflammation after cataract surgery. Eur J Ophthalmol 2007;17(1):20-8.
- Cheema RA, Lukran AD. Visual recovery in unilateral traumatic paediatric cataracts related with posterior chamber intraocular lens and anterior vitrectomy in Pakistan. Int Ophthalmol 1999; 23:85-9.
- Eckstein M, Vijaya Lakshmi P, Kelladar M, Gilbert C, Foster A. Use of intraocular lens in children with traumatic cataract in South India. Br J Ophthalmol 1998; 82:911-5.
Corresponding Author
Dr. (Lt Col) Rishi Sharma
Military Hospital Yol, Himachal Pradesh, India
DOI: https://dx.doi.org/10.18535/jmscr/v8i4.53
