Delhi Journal of Ophthalmology

A Case of Traumatic Phacocele in a Patient with Aniridia

Mandeep Tomar1, Gaurav Sharma1, Tarun Sood2, Vandna Sharma1, Richa Dhiman1, Bhup Singh1
1Department of Ophthalmology, Dr. Rajendra Prasad Government Medical College, Tanda Kangra, Himachal Pradesh, India
2Civil Hospital Sarkaghat, District Mandi, Himachal Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Mandeep Tomar MS, DNB
Senior Resident
Department of Ophthalmology,
Dr. Rajendra Prasad Government Medical
College, Tanda Kangra,
Himachal Pradesh - 176001, India
Email id: sunnyigmc85@gmail.com


Received: 26-AUG-2018 Accepted: 18-DEC-2018 Published Online: 15-MAY-2019
DOI: https://dx.doi.org/10.7869/djo.464

Abstract
An 18 year old boy with bilateral aniridia presented to us with a history of trauma to his left eye with a ball. Visual acuity was finger counting at 1 metre OD and perception of light OS. Past records revealed history of cataract surgery and intraocular lens implantation for congenital cataract in his right eye 8 years back and superiorly subluxated crystalline lens in left eye. Slit lamp examination showed presence of a bluish white subconjunctival mass superonasally in his left eye. The right eye had aniridia associated keratopathy, epithelial downgrowth and posterior capsular opacification. Exploration revealed a scleral perforation and phacocele. During suturing and repositioning of the prolapsed uveal tissue, non expulsive hemorrhage occurred which was managed and closure of the wound was done. Postoperatively, the eye was hypotonous with visual acuity of perception of light. We concluded that traumatic phacocele is a rare event and in patients with Aniridia, it is a surgical challenge because of tissue weakness that may lead to excessive bleeding, difficulty in suturing, and slow wound healing. Our main aim should be to extract the phacocele and maintain the globe integrity in such cases.

Keywords :Aniridia, Phacocele