Abstract

We report a case of posttraumatic corneal rupture with massive hyphema followed by extrusion of intraocular lens (IOL) and complete aniridia in a patient who underwent small incision cataract surgery with IOL implantation 2 years back. Repair of the corneal wound with removal of blood from anterior chamber was done. Once the media became sufficiently clear, iris ball was discovered floating in the vitreous cavity mixed with vitreous hemorrhage. Two months after the primary repair, vitrectomy with scleral fixation lens implantation was done. Best-corrected visual acuity in the right eye was 6/12 at 1-month follow-up. In pseudophakic eyes, extrusion of IOL with total aniridia after blunt trauma has rarely been reported in literature.

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