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Reminder of important clinical lesson
CASE REPORT
Optimising the surgical outcome in a case of post-traumatic cataract using ultrasound biomicroscopy
  1. Manthan Hasmukhbhai Chaniyara,
  2. Amar Pujari,
  3. Neelima Aron,
  4. Namrata Sharma
  1. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Manthan Hasmukhbhai Chaniyara, dr.chaniyara{at}gmail.com

Summary

A 12-year-old boy was brought with the chief complaint of diminution of vision in his left eye for the past 1 month. History revealed a blunt trauma to his left eye with a wooden stick 6 weeks ago.Visual acuity was 20/20 and hand movement close to face in right and left eye, respectively, without any relative afferent pupillarydefect. Slit-lamp examination showed a total cataractous lens with signs suggestive of suspected posterior capsular (PC) defect. The PC defect was screened initially using B-scan ultrasound of the posterior segment, followed by confirmation of the same using ultrasound biomicroscopy. Left eye lens aspiration along with limited anterior vitrectomy followed by placement of multipiece intraocular lens in the sulcus was performed. Best-corrected visual acuity at 6 months of follow-up was 20/20.

  • Anterior Chamber
  • Ophthalmology
  • Medical education

https://doi.org/10.1136/bcr-2017-220579

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    Footnotes

    • Contributors MHC, AP, NA and NS has evaluated the case in detail followed by lens aspiration with intra ocular lens implantation. MHC, AP, NA and NS have critically evaluated the educational value of the case and wrought the report.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.