A case of penetrating eye injuries caused by fractured spectacle lens Kenya Yoshida 1 , Yasuhiko Asano 2 , Shigehiro Iwabuchi 1 , Aya Hirano 1 , Rie Nishizaki 1 , Tamaki Sunakawa 1 , Yumi Kamijo 1 , Hidetoshi Onda 2 1Department of Ophthalmology Showa University Koto Toyosu Hospital 2Department of Ophthalmology, Showa University School of Medicine pp.1011-1016
Published Date 2020/8/15
DOI https://doi.org/10.11477/mf.1410213648
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Abstract Purpose:To report a case with multiple injuries in the cornea caused by shattered spectacle glass lens.

Case:A 55-year-old female fell down while riding a bicycle. Her right spectacle lens was broken and she was transported to our emergency unit.

Findings and Clinical Course:Corrected visual acuity was light perception right and 1.2 left. Intraocular pressure could not be measured. Glass fragments lacerated the cornea. Many tiny pieces of glass remained in the corneal stroma. The iris prolapsed through the wounds. She received repair of the corneal laceration and extraction of glass fragments. The anterior chamber was formed the following day and the cornea gradually became transparent. Traumatic cataract appeared 8 months later and was treated by phacoemulsification and aspiration. Corrected visual acuity was 0.3 in the right eye.

Conclusion:In this case of complex corneal and laceration, the wound did not involve the whole corneal layers and resulted in partial corneal transparency.

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