The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
	The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Corneoscleral laceration

Photo by Dr. Thomas Low

A 27 year-old gardener sustained a left ocular injury after being hit by an unidentifying object that appeared to arise from the ground while he was cutting grass with an electric rotor. His vision was reduced to counting finger at 6 meters. Slit-lamp examination showed a linear medial corneal laceration with iris prolapse. The laceration extended into the nasal region with uveal tissue exposure. However, no vitreous prolapse was demonstrated at the wound. The lens was intact. The B-scans and plain X-rays did not show any intraocular foreign bodies. He underwent an uncomplicated primary reply. Antibiotic prophylaxis included intracameral cefuroxime and oral ciprofloxacin. 

Left iris prolapse through a full thickness medial corneal laceration.

An inverted V laceration at the nasal limbus with uveal tissue exposure.

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