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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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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. |
first_indexed | 2024-03-12T22:31:07Z |
format | Article |
id | doaj.art-f8c462f286c240818e60e8136429e11e |
institution | Directory Open Access Journal |
issn | 0301-4738 1998-3689 |
language | English |
last_indexed | 2024-03-12T22:31:07Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Ophthalmology |
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 |
work_keys_str_mv | AT purendrabhasin globerupturewithaphakiaaniridiasecondaryglaucomaandlatecornealdecompensationamultistagedapproachtomanagement AT manishpanday globerupturewithaphakiaaniridiasecondaryglaucomaandlatecornealdecompensationamultistagedapproachtomanagement AT praveendhanapal globerupturewithaphakiaaniridiasecondaryglaucomaandlatecornealdecompensationamultistagedapproachtomanagement |