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New approach to management of traumatic phacocele with iris loss

We present a case of a 77-year-old woman who sustained blunt ocular trauma leading to a scleral rupture, superonasal subconjunctival crystalline lens dislocation, iris loss, and hyphema. Computed tomography aided in the diagnosis of traumatic phacocele. Surgical exploration revealed an 11.0 mm anter...

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Main Authors: Yong, Geng Yi, Ting, Xiao Wei, Yee, Alex Chau Sim, Pan, Shin Wei, Mohamed Noor, Jelinar, Zahari, Mimiwati
Format: Article
Published: Elsevier 2018
Subjects:
R Medicine
Online Access:http://eprints.um.edu.my/20265/
https://doi.org/10.1016/j.jcro.2018.01.002
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spelling my.um.eprints.202652019-02-12T04:33:20Z http://eprints.um.edu.my/20265/ New approach to management of traumatic phacocele with iris loss Yong, Geng Yi Ting, Xiao Wei Yee, Alex Chau Sim Pan, Shin Wei Mohamed Noor, Jelinar Zahari, Mimiwati R Medicine We present a case of a 77-year-old woman who sustained blunt ocular trauma leading to a scleral rupture, superonasal subconjunctival crystalline lens dislocation, iris loss, and hyphema. Computed tomography aided in the diagnosis of traumatic phacocele. Surgical exploration revealed an 11.0 mm anterior scleral rupture that was then repaired. Secondary implantation of the uniquely designed tripodal anterior chamber intraocular lens (AC IOL) was the choice because of the presence of extensive iris loss, scleral rupture, cornea edema, and hyphema at the primary setting. This case demonstrates successful restoration of globe integrity and a good visual outcome from an appropriate AC IOL selection and timing of IOL implantation. Elsevier 2018 Article PeerReviewed Yong, Geng Yi and Ting, Xiao Wei and Yee, Alex Chau Sim and Pan, Shin Wei and Mohamed Noor, Jelinar and Zahari, Mimiwati (2018) New approach to management of traumatic phacocele with iris loss. JCRS Online Case Reports, 6 (2). pp. 22-24. ISSN 2214-1677 https://doi.org/10.1016/j.jcro.2018.01.002 doi:10.1016/j.jcro.2018.01.002
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Yong, Geng Yi
Ting, Xiao Wei
Yee, Alex Chau Sim
Pan, Shin Wei
Mohamed Noor, Jelinar
Zahari, Mimiwati
New approach to management of traumatic phacocele with iris loss
description We present a case of a 77-year-old woman who sustained blunt ocular trauma leading to a scleral rupture, superonasal subconjunctival crystalline lens dislocation, iris loss, and hyphema. Computed tomography aided in the diagnosis of traumatic phacocele. Surgical exploration revealed an 11.0 mm anterior scleral rupture that was then repaired. Secondary implantation of the uniquely designed tripodal anterior chamber intraocular lens (AC IOL) was the choice because of the presence of extensive iris loss, scleral rupture, cornea edema, and hyphema at the primary setting. This case demonstrates successful restoration of globe integrity and a good visual outcome from an appropriate AC IOL selection and timing of IOL implantation.
format Article
author Yong, Geng Yi
Ting, Xiao Wei
Yee, Alex Chau Sim
Pan, Shin Wei
Mohamed Noor, Jelinar
Zahari, Mimiwati
author_facet Yong, Geng Yi
Ting, Xiao Wei
Yee, Alex Chau Sim
Pan, Shin Wei
Mohamed Noor, Jelinar
Zahari, Mimiwati
author_sort Yong, Geng Yi
title New approach to management of traumatic phacocele with iris loss
title_short New approach to management of traumatic phacocele with iris loss
title_full New approach to management of traumatic phacocele with iris loss
title_fullStr New approach to management of traumatic phacocele with iris loss
title_full_unstemmed New approach to management of traumatic phacocele with iris loss
title_sort new approach to management of traumatic phacocele with iris loss
publisher Elsevier
publishDate 2018
url http://eprints.um.edu.my/20265/
https://doi.org/10.1016/j.jcro.2018.01.002
_version_ 1643691228048392192
score 13.211869

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