Abstract

In North India 4% of all avoidable cases of blindness are due to traumatic eye injury. Purpose of our study is to highlight the challenges in management of trauma. A 37 year male, blunt trauma to the R/E 15 days back. Methods V/A R/E Finger counting at 1meter, L/E 6/6, For R/ E Colour vision 0/17, Slit Lamp examination Shallow AC depth with superior iridodialysis, Tonometry 32mm Hg, Pupil Grade III RAPD and D shaped pupil, anterior chamber cells 1+,Lens traumatic cataract with zonular dehiscence, Gonioscopy Grade 1 with iris and sphincter tears, Fundus Grade III disc edema and dull foveal reflex, OCT macula showed retinal pigment epithelium migration at the fovea, MRI orbit suggested optic nerve thickening. Results systemic steroids, antiglaucoma drugs given. follow up V/A 6/36 resolved disc edema, R/E Cataract surgery with intraocular lens and capsular tension ring insertion and iris tear repair surgery, V/A improved to 6/6 colour vision within normal and normal pressures.