DR KRUTIKA BORIWAL

DR. YOGESH KUMAR

Abstract

A 50year old lady presented with sudden diminution of vision in her left eye. There was history of blunt trauma to her left eye one day back. There was no history of systemic illness or ocular surgery in the past. On ocular examination, the best corrected vision in her left eye was hand movements close to face with accurate projection of rays. On tonometry, the intraocular pressure was 6mm Hg. On slit lamp examination, crystalline lens was seen in the medial subconjunctival space. A 6 mm scleral laceration was present at 12’O clock position. Anterior segment examination revealed diffuse haziness of cornea. Anterior chamber was deep with presence of vitreous. The pupil was mid dilated and aphakia was present. Indirect ophthalmoscopy revealed vitreous haemorrhage.

On Ultrasound B-scan of left eye lens echoes were not detected anywhere. The patient was planned for surgical removal of the crystalline lens with the repair of the scleral wound.