Globe rupture with aphakia, aniridia, secondary glaucoma and late corneal decompensation: A multi-staged approach to management

Severe blunt ocular trauma may result in immediate and delayed complications requiring appropriate management algorithms. We hereby report a case of globe rupture, aphakia, traumatic aniridia, and secondary glaucoma in a 33-year-old male following road traffic accident. He was treated initially by p...

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Main Authors: Purendra Bhasin, Manish Panday, Praveen Dhanapal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=5;spage=2263;epage=2266;aulast=Bhasin
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author Purendra Bhasin
Manish Panday
Praveen Dhanapal
author_facet Purendra Bhasin
Manish Panday
Praveen Dhanapal
author_sort Purendra Bhasin
collection DOAJ
description Severe blunt ocular trauma may result in immediate and delayed complications requiring appropriate management algorithms. We hereby report a case of globe rupture, aphakia, traumatic aniridia, and secondary glaucoma in a 33-year-old male following road traffic accident. He was treated initially by primary repair followed by novel combined approach of aniridia IOL with Ahmed glaucoma valve implantation. Delayed corneal decompensation required deferred penetrating keratoplasty. After a follow-up of 3.5 years after last surgery, patient maintains good functional vision with stable IOL, clear corneal graft and controlled intraocular pressure. A meticulously planned and staged management approach appears better suited in complex ocular trauma in such scenarios giving a good structural and functional outcome.
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spelling doaj.art-f8c462f286c240818e60e8136429e11e2023-07-21T15:14:10ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017152263226610.4103/IJO.IJO_3068_22Globe rupture with aphakia, aniridia, secondary glaucoma and late corneal decompensation: A multi-staged approach to managementPurendra BhasinManish PandayPraveen DhanapalSevere blunt ocular trauma may result in immediate and delayed complications requiring appropriate management algorithms. We hereby report a case of globe rupture, aphakia, traumatic aniridia, and secondary glaucoma in a 33-year-old male following road traffic accident. He was treated initially by primary repair followed by novel combined approach of aniridia IOL with Ahmed glaucoma valve implantation. Delayed corneal decompensation required deferred penetrating keratoplasty. After a follow-up of 3.5 years after last surgery, patient maintains good functional vision with stable IOL, clear corneal graft and controlled intraocular pressure. A meticulously planned and staged management approach appears better suited in complex ocular trauma in such scenarios giving a good structural and functional outcome.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=5;spage=2263;epage=2266;aulast=Bhasincomplex traumacorneal decompensationtraumatic aniridia - aphakiatraumatic glaucoma
spellingShingle Purendra Bhasin
Manish Panday
Praveen Dhanapal
Globe rupture with aphakia, aniridia, secondary glaucoma and late corneal decompensation: A multi-staged approach to management
Indian Journal of Ophthalmology
complex trauma
corneal decompensation
traumatic aniridia - aphakia
traumatic glaucoma
title Globe rupture with aphakia, aniridia, secondary glaucoma and late corneal decompensation: A multi-staged approach to management
title_full Globe rupture with aphakia, aniridia, secondary glaucoma and late corneal decompensation: A multi-staged approach to management
title_fullStr Globe rupture with aphakia, aniridia, secondary glaucoma and late corneal decompensation: A multi-staged approach to management
title_full_unstemmed Globe rupture with aphakia, aniridia, secondary glaucoma and late corneal decompensation: A multi-staged approach to management
title_short Globe rupture with aphakia, aniridia, secondary glaucoma and late corneal decompensation: A multi-staged approach to management
title_sort globe rupture with aphakia aniridia secondary glaucoma and late corneal decompensation a multi staged approach to management
topic complex trauma
corneal decompensation
traumatic aniridia - aphakia
traumatic glaucoma
url http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=5;spage=2263;epage=2266;aulast=Bhasin
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AT manishpanday globerupturewithaphakiaaniridiasecondaryglaucomaandlatecornealdecompensationamultistagedapproachtomanagement
AT praveendhanapal globerupturewithaphakiaaniridiasecondaryglaucomaandlatecornealdecompensationamultistagedapproachtomanagement