Chief & Presenting Author: Dr.Shivi Srivastava

Co Author(s): Dr.Lokesh Kumar Singh, Prof. Dr. Alka Gupta, Dr.Jaishree Dwivedi

Abstract

20 years male presented with complaint of acute diminution of vision in the right eye for 1 week. He gave a history of trauma with iron wire at workplace.
Visual acuity was OD-HM+ PL+ PR acc. not improving with pinhole. IOP was 20.6mmHg and pupil was round, regular and reacting to light. On dilated slit-lamp examination, a paracentral sealed corneal perforating wound of 1 mm was seen at 2 o’clock position, 4 mm away from the limbus. Seidel’s was negative. A small anterior lens capsular tear with a metallic foreign body seen at 3 O’clock position just away from the plane of corneal wound of entry with sectoral lens opacification.
Surgical steps – 1.8-mm triplanar incision and two side ports made. Anterior capsule tear was extended to make a round 5 mm capsulorhexis. Intralenticular foreign body was identified and removed through main wound with forceps, followed by lens aspiration and foldable monofocal IOL implantation. The sealed corneal flap opened up at last which had to be sutured.