The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
a
a
Penetrating ocular
injury
Photo by Professor Chua
Chung Nen
A 23
year-old mechanic sustained a left ocular
penetrating injury from a piece of metal at work. He was not wearing eye
protection at the time. CT scan showed a metallic foreign body in the left
vitreous cavity. Slit-lamp examination showed perforating corneal injury and
the presence of a dense cataract with anterior capsule breach (indicative of
lenticular perforation). There was lenticulo-corneal
touch when the patient was reviewed the second post-operative day and his
vision was light perception. Par plana vitrectomy was performed to remove
the cataract as well as the foreign body. During the foreign body removal, the
retina developed tear. Silicone oil was instilled to tamponade the retinal
tear and to prevent retinal detachment. The eye was left aphakic for the
time being.
Post corneal repair with 10/0 nylon
and the presence of a traumatic cataract.
Lenticulo-corneal touch between the
endothelium and the lenticular cortex.
Axial view of a metallic body in the
left vitreous cavity.
Coronal view of the foreign body.
Post traumatic cataract removal.
Vitreous haemorrhage is visible behind
