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Inflammation after corneoscleral rupture and traumatic cataract due to blunt trauma in a child: a case report


Background: Ocular trauma is the most common cause of acquired monocular blindness in children. It is because of the inflammation following corneoscleral rupture and traumatic cataracts due to blunt trauma. This case study aims to evaluate the corneoscleral rupture and traumatic cataracts due to blunt trauma in a child.

Case Presentation: We present a 5-year-old male who sustained blunt trauma to his right eye. He presented with blurry vision, mild pain and watering from the affected eye. His examination revealed visual acuity of 6/60 in the right eye (RE), corneal laceration extending from 3 o’clock towards 11 o’clock with possible extension to the sclera, and cortical lens matter in the anterior chamber. The patient underwent globe rupture repair under general anesthesia immediately. Postoperative day one revealed 2 mm hypopyon thick inflammation cells and fibrin. He was on topical steroids and topical antibiotics. The fourth postoperative day showed reduced inflammation, wound sutures in place and absence of hypopyon, thick membranous in the pupil. The patient is then referred to the Pediatric Ophthalmology department for a follow-up operation of clearing lens particle remnants to reduce inflammation and IOL insertion.

Management of the injury and traumatic cataract is crucial to prevent vision loss and amblyopia, to maintain binocularity, prevent strabismus or even phthisis bulbi. Along with early management, routine follow-up examination for prevention of other unwanted complications is advised.


  1. Kumar K, Figurasin R, Kumar S, Waseem M. An Uncommon Meridional Globe Rupture due to Blunt Eye Trauma. Case Rep Emerg Med. 2018;2018:1808509.
  2. Gul GA, Raza A. Visual Outcome of Open Globe Injuries in Paediatric Patients. 2017;21(3):226-228.
  3. El-Sebaity DM, Soliman W, Soliman AM, Fathalla AM. Pediatric eye injuries in upper Egypt. Clin Ophthalmol. 2011;5:1417-1423.
  4. Abbott J, Shah P. The epidemiology and etiology of pediatric ocular trauma. Surv Ophthalmol. 2013;58(5):476-485.
  5. Li X, Zarbin MA, Bhagat N. Pediatric open globe injury: A review of the literature. J Emerg Trauma Shock. 2015;8(4):216-223.
  6. Medzhitov R. Inflammation 2010: new adventures of an old flame. Cell. 2010;140(6):771-776.
  7. Ferrero-Miliani L, Nielsen OH, Andersen PS, Girardin SE. Chronic inflammation: importance of NOD2 and NALP3 in interleukin-1beta generation. Clin Exp Immunol. 2007;147(2):227-235.
  8. Zhou Y, Hong Y, Huang H. Triptolide Attenuates Inflammatory Response in Membranous Glomerulo-Nephritis Rat via Downregulation of NF-?B Signaling Pathway. Kidney Blood Press Res. 2016;41(6):901-910.
  9. Giannoudis PV, Smith RM, Banks RE, Windsor AC, Dickson RA, Guillou PJ. Stimulation of inflammatory markers after blunt trauma. Br J Surg. 1998;85(7):986-990.
  10. Qayum S, Anjum R, Rather S. Epidemiological profile of pediatric ocular trauma in a tertiary hospital of northern India. Chin J Traumatol. 2018;21(2):100-103.
  11. Brophy M, Sinclair SA, Hostetler SG, Xiang H. Pediatric eye injury-related hospitalizations in the United States. Pediatrics. 2006;117(6):e1263-e1271.
  12. Liu X, Liu Z, Liu Y, Zhao L, Xu S, Su G, et al. Determination of visual prognosis in children with open globe injuries. Eye (Lond). 2014;28(7):852-6.
  13. Bunting H, Stephens D, Mireskandari K. Prediction of visual outcomes after open globe injury in children: a 17-year Canadian experience. J AAPOS. 2013;17(1):43-48.
  14. Schörkhuber MM, Wackernagel W, Riedl R, Schneider MR, Wedrich A. Ocular trauma scores in paediatric open globe injuries. Br J Ophthalmol. 2014;98(5):664-668.
  15. Ritson JE, Welch J. The management of open globe eye injuries: a discussion of the classification, diagnosis and management of open globe eye injuries. J R Nav Med Serv. 2013;99(3):127-130.
  16. Sen P, Shah C, Sen A, Jain E, Mohan A. Primary versus secondary intraocular lens implantation in traumatic cataract after open-globe injury in pediatric patients. J Cataract Refract Surg. 2018;44(12):1446-1453.
  17. Pieramici DJ, Sternberg P Jr, Aaberg TM Sr, Bridges WZ Jr, Capone A Jr, Cardillo JA, et al. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. Am J Ophthalmol. 1997;123(6):820-31.
  18. Acar U, Tok OY, Acar DE, Burcu A, Ornek F. A new ocular trauma score in pediatric penetrating eye injuries. Eye (Lond). 2011;25(3):370-374.
  19. Shah MA, Shah SM, Applewar A, Patel C, Patel K. Ocular Trauma Score as a predictor of final visual outcomes in traumatic cataract cases in pediatric patients. J Cataract Refract Surg. 2012;38(6):959-965.
  20. Zhu L, Wu Z, Dong F, Feng J, Lou D, Du C, et al. Two kinds of ocular trauma score for paediatric traumatic cataract in penetrating eye injuries. Injury. 2015;46(9):1828-33.
  21. Kuhn F, Maisiak R, Mann L, Mester V, Morris R, Witherspoon CD. The Ocular Trauma Score (OTS). Ophthalmol Clin North Am. 2002;15(2):163-vi.

How to Cite

Suhardi, C. V., Bungaran, G., & Ihsan, N. (2021). Inflammation after corneoscleral rupture and traumatic cataract due to blunt trauma in a child: a case report. Intisari Sains Medis, 12(2), 617–620.




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Clara Verlina Suhardi
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Graecia Bungaran
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