New approach to management of traumatic phacocele with iris loss

Yong, Geng Yi and Ting, Xiao Wei and Yee, Alex Chau Sim and Pan, Shin Wei and Mohamed Noor, Jelinar and Zahari, Mimiwati (2018) New approach to management of traumatic phacocele with iris loss. JCRS Online Case Reports, 6 (2). pp. 22-24. ISSN 2214-1677, DOI https://doi.org/10.1016/j.jcro.2018.01.002.

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Official URL: https://doi.org/10.1016/j.jcro.2018.01.002

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.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: ciprofloxacin; dexamethasone; homatropine
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 12 Feb 2019 04:33
Last Modified: 12 Feb 2019 04:33
URI: http://eprints.um.edu.my/id/eprint/20265

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