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OPHTHALMIC IMAGES
Year : 2021  |  Volume : 59  |  Issue : 1  |  Page : 110-111

Rare traumatic expulsion of the iris presenting as aniridia


Department of Cornea and Paediatric Ophthalmology, Aravind Eye Hospital, Puducherry, India

Correspondence Address:
Dr. Josephine Christy
Aravind Eye Hospital, Puducherry - 605 007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_170_20

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A 55 year old male presented with pain and defective vision in left eye following blunt trauma with sugarcane stick. Anterior segment examination revealed periorbital edema, circumcorneal congestion, ruptured sclerocorneal tunnel with 360 iridodilaysis and iris extrusion through the scleral tunnel, corneal edema, blood staining of endothelium, anterior chamber was flat with eight ball hyphema and vitreous prolapse. A corneoscleral repair was performed with iris abscission, Intraocular lens explantation, anterior vitrectomy and anterior chamber reformation. Postoperative day 1 patient had well opposed sutured scleral tear, corneal edema with descemet membrane folds, anterior chamber hyphema, fibrinous membrane with blood clot over iris and aphakia. B-scan revealed 360 degree hemorrhagic choroidal detachments, retinal detachment with vitreous hemorrhage.


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