Michael Dong, Daniel T. Hogarty, B. Thia, R. Meusemann
{"title":"Globe rupture and total traumatic aniridia following blunt facial trauma 30 years after cataract surgery","authors":"Michael Dong, Daniel T. Hogarty, B. Thia, R. Meusemann","doi":"10.4103/atr.atr_97_20","DOIUrl":null,"url":null,"abstract":"Modern advancements in surgical technique and intraocular implants have reduced the size of the incision required for cataract surgery. However, despite their small size, these wounds may constitute areas of weakness in the globe many years after healing. The inherent weakness from the healed incision may be the site of globe rupture following sudden, severe increases in intraocular pressure from blunt trauma to the eye or face. This case report discusses a 92-year-old woman who presented with a macrohyphema and globe rupture of the left eye following blunt facial trauma. Surgical globe repair was performed which revealed total traumatic aniridia and a posteriorly tilted intraocular lens. The patient progressed without complications and achieved a final visual acuity of 6/18 in the affected eye. This case highlights the lasting structural weakness following cataract surgery which may persist for years and leave the globe susceptible to rupture.","PeriodicalId":45486,"journal":{"name":"Archives of Trauma Research","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Trauma Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/atr.atr_97_20","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Modern advancements in surgical technique and intraocular implants have reduced the size of the incision required for cataract surgery. However, despite their small size, these wounds may constitute areas of weakness in the globe many years after healing. The inherent weakness from the healed incision may be the site of globe rupture following sudden, severe increases in intraocular pressure from blunt trauma to the eye or face. This case report discusses a 92-year-old woman who presented with a macrohyphema and globe rupture of the left eye following blunt facial trauma. Surgical globe repair was performed which revealed total traumatic aniridia and a posteriorly tilted intraocular lens. The patient progressed without complications and achieved a final visual acuity of 6/18 in the affected eye. This case highlights the lasting structural weakness following cataract surgery which may persist for years and leave the globe susceptible to rupture.
期刊介绍:
The journal will cover technical and clinical studies related to health, ethical and social issues in all fields related to trauma or injury. Archives of Trauma Research is an authentic clinical journal, which is devoted to the particular compilation of the latest worldwide and interdisciplinary approach and findings, including original manuscripts, meta-analyses and reviews, health economic papers, debates, and consensus statements of clinical relevant to the trauma and injury field. Readers are generally specialists in the fields of general surgery, neurosurgery, orthopedic surgery, plastic and reconstructive surgery, or any other related fields of basic and clinical sciences..