Case 41: Zone I Open Globe Injury with Retained Corneal Foreign Body and Lens Capsule Violation
A 31 year-old man suffered a full-thickness corneal laceration with retained wooden foreign body lodged into his cornea. He was transferred from an outside hospital to a dedicated eye hospital, which imposed a delay in open globe repair and wooden foreign body removal. His open globe repair was uneventful but his initial injuries included capsular violation that resulted in rapid cataract formation and an increase in eye pressure, necessitating cataract removal. He subsequently underwent lens implantation. This case highlights precautions in open globe repairs with high risk for endophthalmitis as well as an approach to cataract surgery after open globe injury with capsular violation.
KeywordsRetained corneal foreign body Lens capsule violation Posttraumatic glaucoma Secondary intraocular lens implantation