Case Report

Treatment Approach to Small Inadvertent Injury of the Crystalline Lens Anterior Capsule During Iridodialysis Repair Surgery

10.4274/tjo.43.47550

  • Gökçen Gökçe
  • Volkan Hürmeriç
  • Osman Melih Ceylan
  • Fazıl Cüneyt Erdurman

Received Date: 28.01.2012 Accepted Date: 25.04.2012 Turk J Ophthalmol 2013;43(1):61-63

A 22-year-old man presented to our ophthalmology department with photophobia. On ophthalmic examination, iridodialysis secondary to blunt trauma that occurred 5 years ago was diagnosed. During iridodialysis repair surgery, long curved double-armed needle of 10-0 polypropylene suture (PC-9) inserted into the 19 gauge side port turned down inadvertently by its own weight, resulting in crystalline lens anterior capsule perforation. Postoperative clinical observation revealed no lens opacification affecting visual acuity. This case report showed that lens aspiration surgery should be postponed if the capsule injury is small.

Keywords: Iridodialysis, crystalline lens anterior capsule, 10-0 polypropylene suture, perforation

Full Text (Turkish)