Triple Procedures for Mechanical Ocular Trauma

Abstract

Introduction: Mechanical ocular trauma is a major cause of ocular morbidity and can lead to severe visual loss. One of the most complicated mechanical ocular trauma is iridodialysis. In this case, we report three surgical procedures to treat the effect of mechanical ocular trauma. Case Presentation: A 32-year-old man was referred to Gatot Soebroto National Army Hospital, Jakarta, with major complaints of pain and blurred vision in the left eye after sustaining blunt trauma while playing tennis two days ago. He was diagnosed with postoperative corneal laceration repair, subtotal iridodialysis, traumatic cataract, and vitreous hemorrhage on his left eye. He underwent iridodialysis repair with the McCannel suture technique and continued with a pars plana lensectomy to remove the lens and a pars plana vitrectomy to treat the vitreous hemorrhage. Postoperative examination showed a significant improvement of best-corrected visual acuity (BCVA) from hand movement to 0.15 and no sign of acquired infection. Conclusions: The effect of mechanical ocular trauma might be unpredictable and may include various conditions. Accurate management will prevent further complication and improves the patient’s quality of life. A good approach and visual result will satisfy both patients and doctors.