Case 19: Zone I Open Globe Injury with Traumatic Cataract Requiring Secondary Lens Extraction in a Pediatric Case

Abstract We report two cases of ocular trauma caused by recently popular party poppers and LED balloons, commonly used in parties nowadays. One case depicted a closed globe injury as a result of a party popper spray over the eye. The pressure of the spray resulted in a blunt trauma causing full thickness macular hole which was later treated with Pars Plana Vitrectomy (PPV) surgery. The second case is an example of an open globe injury caused by the bursting of LED balloon over the eye of a young child resulting in corneal perforation, traumatic cataract, vitreous hemorrhage with an intraocular foreign body (IOFB). It was successfully treated with corneal suturing, lens extraction, PPV surgery and removal of IOFB followed by a secondary lens implantation. Both of the sustained injuries were completely avoidable hence emphasizing the requirement of eye safety awareness programs and diligence in the use of these gadgets in everyday lives.

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Open globe injury with intraocular foreign body and traumatic cataract

African Journal of Trauma ◽

10.4103/1597-1112.179221 ◽

2015 ◽

Vol 4 (2) ◽

pp. 60

Author(s):

Santosh Kumar

Keyword(s):

Foreign Body ◽

Intraocular Foreign Body ◽

Open Globe Injury ◽

Traumatic Cataract ◽

Open Globe

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Visual Outcome of Pediatric Traumatic Cataract in Lumbini Eye Institute, Bhairahawa, Nepal

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v12i1.26343 ◽

2020 ◽

Vol 12 (1) ◽

pp. 17-24

Author(s):

Govind Gurung ◽

Kabindra Bajracharya

Keyword(s):

Visual Acuity ◽

Pediatric Trauma ◽

Visual Outcome ◽

Corneal Opacity ◽

Study Data ◽

Open Globe Injury ◽

Traumatic Cataract ◽

Open Globe ◽

Corneal Laceration ◽

Better Than

Introduction: There are not many studies of pediatric trauma in Nepal. Therefore, this study was conducted to find out the visual outcome of pediatric traumatic cataract and causes of poor visual acuity. Materials and Methods: In this hospital based prospective study, all children visiting the pediatric department of Lumbini Eye Institute and Research Center with traumatic cataract and visual outcome after surgery from July 2018 to August 2019 were evaluated. A total of 136 children ranging from age (0 months to 15 years) with traumatic cataract were included in the study. Data on age of presentation, sex and diagnosis were collected from clinical charts and analyzed. Results: The study enrolled 136 cases with traumatic cataract. 72.1% male and 27.9% female patients were involved with the average age being 9.46 years (SD 2.95). Final visual acuity was better than 20/60 in 73 percent of the children. Visual acuity was poor in 27 percent of children. In children with poor visual acuity 44 percent of the patients had corneal opacity, 23 percent had retinal detachment and 18 percent had vitreous opacification secondary to trauma. Closed globe injury was seen in 72 percent of children and 28 percent had open globe injury. Conclusion: Male children were more prone to traumatic cataract than female children. Open globe injury with corneal laceration and opacity was the major cause of decreased visual acuity.

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