|Year : 2018 | Volume
| Issue : 9 | Page : 1329-1330
Traumatic expulsion of intact iris in toto
Seema Ramkrishnan1, Prabu Baskaran2, Arti Jain2
1 Department of Cornea and Refractive Surgery, Aravind Eye Hospital, Puducherry, India
2 Department of Vitreo Retina, Aravind Eye Hospital, Puducherry, India
|Date of Web Publication||20-Aug-2018|
Dr. Prabu Baskaran
Aravind Eye Hospital, Thavalakuppam, Cuddalore Main Road, Puducherry - 605 007
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Ramkrishnan S, Baskaran P, Jain A. Traumatic expulsion of intact iris in toto. Indian J Ophthalmol 2018;66:1329-30
A 70-year-old female who sustained blunt trauma, 17 years after manual small incision cataract surgery presented to us with globe rupture. Wound exploration revealed the presence of entire iris diaphragm along with 3-piece posterior chamber intraocular lens (PCIOL) in the subconjunctival space [Figure 1], [Figure 2], [Figure 3]. Even after several years, traumatic expulsion of iris tissue in toto along with PCIOL happened through the previous surgical scar.
|Figure 2: Expulsed iris diaphragm in toto along with PCIOL following blunt trauma|
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|Figure 3: Wound exploration after primary repair revealed iris tissue in the subconjunctival space|
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| Conclusion|| |
This case raises our concern on integrity and strength of self-sealing ophthalmic surgical wounds in general.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
[Figure 1], [Figure 2], [Figure 3]