학술논문
Globe rupture with aphakia, aniridia, secondary glaucoma and late corneal decompensation: A multi-staged approach to management.
Document Type
Article
Source
Subject
*BLUNT trauma
*APHAKIA
*CORNEA
*GLAUCOMA
*INTRAOCULAR pressure
*FILTERING surgery
*TRAFFIC accidents
*CORNEAL transplantation
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Language
ISSN
0301-4738
Abstract
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. [ABSTRACT FROM AUTHOR]