Case Report

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

Clara Verlina Suhardi , Graecia Bungaran, Nashrul Ihsan

Clara Verlina Suhardi
General Practitioners, Jakarta Eye Center Hospitals and Clinics, Jakarta, Indonesia. Email: claraverlina@ymail.com

Graecia Bungaran
General Practitioners, Jakarta Eye Center Hospitals and Clinics, Jakarta, Indonesia

Nashrul Ihsan
Division of Cornea, Cataract and Refractive Surgery, Jakarta Eye Center Hospitals and Clinics, Jakarta, Indonesia
Online First: August 31, 2021 | Cite this Article
Suhardi, C., 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. DOI:10.15562/ism.v12i2.1068


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.


Conclusion: 
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.

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