Citation

Krishnacharya PS. Burns Trauma 2013; 1(3): 140-143.

Affiliation

Department of Ophthalmology, Jagadguru Sri Shivarathreeshwara Medical College and Hospital, Jagadguru Sri Shivarathreeshwara University, Mysore, Karnataka India.

Copyright

(Copyright © 2013, Institute of Burn Research, Southwest Hospital, Third Military Medical University, China, Publisher Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.4103/2321-3868.123076

PMID

27574637

PMCID

PMC4978092

Abstract

This case report aims at investigating whether two consecutive surgical settings would be beneficial in achieving postoperative success for the patient with blast eye injury. A 45-year-old male patient admitted on 17(th) October 2011 with history of blast eye injury. Right eye examination revealed central corneal laceration with incarceration of lens matter, multiple foreign bodies also seen embedded in the eyelid margins and in the left cornea. Computed ocular tomography showed a retained intraocular foreign body (IOFB) in the right eye. Simultaneous corneal laceration repair and extraction of the ruptured lens performed as primary procedure under general anesthesia. Intraoperative posterior capsule loss was noticed with vitreous presentation. Anterior vitrectomy with removal of the IOFB was done. Foreign bodies were also removed from the left cornea. Penetrating keratoplasty (PK) with scleral fixated intraocular lens implantation executed 4 months later as secondary procedure. Visual acuity maintained at 6/24 in 2 years follow-up. In conclusion, two consecutive surgical settings has the advantage of calculating the intra ocular lens power.

Language: en

Keywords

Corneal laceration; intra ocular foreign body; penetrating keratoplasty; scleral fixated intraocular lens