DR. EMEE GOGOI

Abstract

A 59 years , old male presented in the morning on the day following injury to his R/E with redness,pain,watering. The patient underwent uneventful cataract surgery 2 weeks back through a temporal sclerocorneal incision. On examination, the R/E revealed a 3 piece PMMA IOL with intact haptics lodged in the subconjunctival space in the temporal quadrant . The eye was aphakic with hyphaema in the anterior chamber with iris tissue prolapse. Vision in R/E was HM. Fundus examination showed vitreous haemorrhage with no clinical signs of RD. L/E was cataractous with a normal anterior segment. Vision in L/E was Fc @2m. B scan was deferred at the time of presentation. Based on the findings a diagnosis of traumatic pseudophacocele with vitreous haemorrhage was made. The patient underwent wound exploration with IOL explantation with abscission of iris tissue together with anterior vitrectomy on the day of presentation. Thereafter, the patient is in close follow up.