A traumatic phacocele after blunt trauma: A case report

Abstract

In this article, we aimed to present a case of traumatic phacocele after blunt trauma. A 49-year-old female patient was admitted to our outpatient clinic due to pain, loss of vision and bleeding in the left eye due to a cow hit. In the ophthalmological examination, vision was light positive in the left eye. Intraocular pressure was digitally hypotonic. Bio-microscopic examination revealed intense subconjunctival hemorrhage and edema in the superior quadrant, and hyphema in the anterior chamber. Fundus could not be detected. The operation was performed under general anesthesia due to the suspicion of a possible scleral perforation. It was observed that the crystalline lens prolapsed towards the subconjunctival area. Primary scleral repair and anterior chamber lavage were performed. Due to intense vitreous hemorrhage, vitrectomy and endolaser were performed two weeks later. A scleral fixation lens was applied to the patient 2 months later