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

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

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Eyelid and corneal perforation

Photo by Dr. Mahadhir Alhady

This newly wed woman was cutting onion when she slipped and fell on a knife. The eyelid showed a small entry wound. The cornea had a full-thickness laceration together with lens capsule rupture. An emergency operation was performed to remove the lens and an anterior chamber wash-out was performed with vancomycin solution to avoid endophthalmitis. The cornea was sutured with 10/0 nylon. The patient was put on oral ciprofloxacin for one week. The recovery was uneventful and a secondary implant was planned.

 

Small entry wound of the right upper lid.

 

Full thickness corneal laceration with breach of the anterior capsule of the lens.

The anterior chamber was hazy due to inflammation and hyphaema.

 

Corneal laceration was sutured and the eye was left aphakic for the time being.

Next Anterior Segment Case