Case 8: Extracapsular Cataract Extraction Wound Rupture
An 84-year-old man with history of extracapsular cataract extraction (ECCE) in both eyes 30 years prior presented with a Zone II open globe injury of the left eye secondary to ECCE wound dehiscence following blunt trauma. The patient underwent repair of his open globe injury and required several secondary retinal surgeries. The patient achieved a post-operative visual acuity of 20/125; however, he subsequently developed a retinal detachment resulting in a visual acuity of counting fingers. This case illustrates the poor prognosis and multiple complications associated with open globe injury following ECCE surgery.
KeywordsExtracapsular cataract Wound dehiscence Choroidal effusion Vitreous hemorrhage Proliferative vitreoretinopathy