Combined surgery for severe eye trauma with extensive iridodialysis, posterior lens dislocation, and intractable glaucoma

J Cataract Refract Surg. 1999 Feb;25(2):285-8. doi: 10.1016/s0886-3350(99)80141-2.

Abstract

A 44-year-old woman sustained a severe left eye contusion from the explosion of a plastic bottle containing fermented orange juice. This resulted in extensive iridodialysis, posterior crystalline lens dislocation, and intractable glaucoma. Eleven days after the injury, combined surgery of trabeculectomy with mitomycin-C, pars plana vitrectomy, lens removal, iridodialysis repair, and scleral-fixated intraocular lens implantation under general anesthesia was performed. Intraocular pressure (IOP) was under control until 5 weeks postoperatively; glaucoma implant surgery was then performed. At the last follow-up 15 months after the combined surgery, best corrected visual acuity was 20/50 and IOP was 15 mm Hg without medication. Combined surgery can be considered a safe, effective option in the management of severe eye trauma in selected cases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Blast Injuries / complications
  • Blast Injuries / surgery*
  • Explosions*
  • Eye Injuries / etiology
  • Eye Injuries / surgery*
  • Female
  • Follow-Up Studies
  • Glaucoma / etiology
  • Glaucoma / surgery*
  • Humans
  • Intraocular Pressure
  • Iris / injuries*
  • Iris / surgery
  • Lens Implantation, Intraocular
  • Lens Subluxation / etiology
  • Lens Subluxation / surgery*
  • Trabeculectomy
  • Visual Acuity
  • Vitrectomy
  • Wounds, Nonpenetrating / etiology
  • Wounds, Nonpenetrating / surgery*