The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Corneal perforation with iris prolapse

Photo by Professor Chua Chung Nen

This 65 year-old man presented with a sudden worsening of his right vision. The vision was light perception in the right eye and hand movement in the left eye. Examination revealed right corneal perforation with iris prolapse and the left eye had dense corneal opacity with cataract. The causes of the perforation and opacity were unknown. B-scan of the right globe showed the retina was flat. He was given topical antibiotics and a right tectonic graft was planned. Unfortunately, his chest X-ray revealed active TB changes and the operation was postponed.

 

Right corneal perforation and left corneal opacity.

 

Right iris prolapse through the perforated cornea.

 

 

Right perforated cornea. The picture was taken with the lens focused on the cornea.

 

Right perforated cornea. The picture was taken with the lens focused on the iris.

 

 

Left corneal opacity.

 

Another view of the left corneal opacity.

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