New approach to management of traumatic phacocele with iris loss
Document Type
Article
Publication Date
1-1-2018
Abstract
We present a case of a 77-year-old woman who sustained blunt ocular trauma leading to a scleral rupture, superonasal subconjunctival crystalline lens dislocation, iris loss, and hyphema. Computed tomography aided in the diagnosis of traumatic phacocele. Surgical exploration revealed an 11.0 mm anterior scleral rupture that was then repaired. Secondary implantation of the uniquely designed tripodal anterior chamber intraocular lens (AC IOL) was the choice because of the presence of extensive iris loss, scleral rupture, cornea edema, and hyphema at the primary setting. This case demonstrates successful restoration of globe integrity and a good visual outcome from an appropriate AC IOL selection and timing of IOL implantation.
Keywords
ciprofloxacin, dexamethasone, homatropine
Divisions
fac_med
Publication Title
JCRS Online Case Reports
Volume
6
Issue
2
Publisher
Elsevier