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

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

a

a

Left corneal perforating injury

Photo by Professor Chua Chung Nen

This 63 year-old woman had had a left esotropia ever since sustaining a perforating corneal injury in her teens. She wished to have a squint surgery. Examination showed the left pupil to be ectopic and there was residual lens material but the retina appeared normal. The plan for her was a secondary lens implant with simultaneous pupilloplasty to centralize the pupil before embarking on squint operation. The squint might improve or even disappear if the patient was able to achieve a good left vision.

 

Left esotropia with a superotemporal corneal scar.

 

Left superotemporal scar with an ectopic pupil and residual lens material.

Next Anterior Segment Case