Case 19: Zone I Open Globe Injury with Traumatic Cataract Requiring Secondary Lens Extraction in a Pediatric Case
A 10-year-old male presented with a Zone I corneal laceration with possible lens violation of the left eye on pre-operative evaluation. Given the limitations of the pre-operative examination and intra-operative view of the lens, the globe corneal laceration was repaired primarily without lens extraction. As the corneal edema improved, the view to the lens improved and it was clear the patient had a traumatic cataract with lens violation. Subsequently, secondary cataract extraction and lens implantation was performed with safe lens positioning into the capsular bag 9 days after open globe repair. The patient’s vision slowly improved over time as the corneal wound continued to heal. The pediatric ocular trauma score (POTS) has been devised to predict visual prognosis after pediatric eye injury, and may be a useful tool when counseling families.
KeywordsPediatric open globe Traumatic cataract Pediatric trauma