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OPHTHALMIC IMAGE
Year : 2018  |  Volume : 66  |  Issue : 9  |  Page : 1329-1330

Traumatic expulsion of intact iris in toto


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 Publication20-Aug-2018

Correspondence Address:
Dr. Prabu Baskaran
Aravind Eye Hospital, Thavalakuppam, Cuddalore Main Road, Puducherry - 605 007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2_18

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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

How to cite this URL:
Ramkrishnan S, Baskaran P, Jain A. Traumatic expulsion of intact iris in toto. Indian J Ophthalmol [serial online] 2018 [cited 2024 Mar 29];66:1329-30. Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?2018/66/9/1329/239337



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 1: Open globe injury after the primary repair

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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 Top


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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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