2019, Number 2
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Rev Cub Oftal 2019; 32 (2)
Iridodialysis and cataract as a result of eye trauma
Montero DE, Cuan AY, Cárdenas DT, Pérez CE, Hormigó PI, Rodríguez SB
Language: Spanish
References: 19
Page: 1-11
PDF size: 453.34 Kb.
ABSTRACT
Eye trauma is a very common reason for attendance to emergency services. Eye trauma may cause devastating damage to the anatomy and physiology of the eyeball. Iridodialysis is one of the many injuries that may be caused by eye trauma. On many occasions iridodialysis does not require any treatment due to its small size, but when it is medium-sized or large it does require quite complex surgery. At times several surgical techniques should be combined to achieve the final goal of restoring eyeball anatomy in the best way. A case is presented of a male 20-year-old patient who underwent closed-globe trauma of his right eye resulting in two large iridodialyses and a traumatic cataract. The iridodialyses were repaired first using the McCannell technique in both cases. Then phacoemulsification of the traumatic cataract was performed with intraocular lens implantation. Finally pupilloplasty was conducted by the Siepser sliding knot technique. In this manner, and by combining the two techniques, the case was solved; the patient recovered visual acuity and was totally reintegrated into his daily activities.
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