Title: Pupilloplasty with Intraocular Lens Implantation in Repaired Corneal Tear with Incarcerated Iris and Traumatic Cataract: A Case Report

Authors: Dr Sarika Dubey, Dr Pankaj Sharma, Dr Apoorva Priyadarshani, Dr Nikita Jain, Dr Kulveer Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v9i5.34

Abstract

We present a case of a 4 year old female with repaired corneal tear 3 months back due to penetrating ocular trauma by an unknown object. She complained of sudden diminution of vision. On examination, traumatic cataract with iris incarceration in wound and posterior synechiae were observed which was managed successfully by pupilloplasty followed by traumatic cataract extraction with anterior vitrectomy and sulcus intraocular lens (IOL) implantation.

Post surgery the BCVA improved from FCCF to 5/60 on first post-operative day with a round and regular pupil.

Keywords: Penetrating ocular trauma, Traumatic cataract, Pupilloplasty, Sulcus IOL.

References

  1. Shah MA, Agrawal R, Teoh R, et al. Pediatric ocular trauma score as a prognostic tool in the management of pediatric traumatic cataracts. Graefes Arch Clin Exp Ophthalmol 2017; 255 (5): 1027-36.
  2. Rumelt S, Rehany U. The influence of surgery and intraocular lens implantation timing on visual outcome in traumatic cataract. Graefes Arch Clin Exp Ophthalmol 2010; 248(9): 1293–1297.
  3. Dannenberg AL, Parver LM, Brechner RJ, Khoo L. Penetration eye injuries in the workplace. The National Eye Trauma System Registry. Arch Ophthalmol 1992; 110(6): 843–848.
  4. Slusher MM, Greven CM, Yu DD. Posterior chamber intraocular lens implantation combined with lensectomy- vitrectomy and intraretinal foreign-body removal. Arch Ophthalmol 1992; 110(1): 127–129.
  5. Pieramici DJ, Sternberg Jr P, Aaberg Sr TM, Bridges Jr WZ, Capone Jr A, Cardillo JA et al. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol 1997; 123(6): 820–831.
  6. Shah MA, Shah SM, Shah SB, 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(6): 760–765.
  7. Agarwal A, Ashok Kumar D. How to manage the complications of a traumatic cataract, ocular surgery news U.S. Edition. Available at: http://www.healio.com/ophthalmology/cataract-surgery/news/print/ocular-surgery-news/%7Ba5742be5-6e8a-43c8-a241-1598aac8449a%7D/how-tomanage-the-complications-of-a-traumatic-cataract.
  8. Agrawal R, Keane PA, Singh J, Saihan Z, Kontos A, Pavesio CE. Classification of semi-automated flare readings using the Kowa FM 700 laser cell flare meter in patients with uveitis. Acta Ophthalmol 2016; 94(2): e135–e141.

Corresponding Author

Dr Apoorva Priyadarshani

3 year Resident, Department of Ophthalmology, SMS Medical College and Hospital, Jaipur