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Photo Essay
August 2002

Subconjunctival Cataract After Trauma

Arch Ophthalmol. 2002;120(8):1102. doi:10.1001/archopht.120.8.1102

AN 82-YEAR-OLD woman sought care for visual loss in the left eye of 1 month's duration after blunt ocular trauma. A round subconjunctival mass was detected superiorly in the center of a linear scleral rupture (Figure 1). The iris was incarcerated superiorly, and prolapsed uveal tissue was present in the wound. The lens was absent from the retropupillary space.

During surgery a few days later, we created a conjunctival incision over the mass and extracted a hard, cataractous lens. We observed a scleral rupture with prolapsed uveal tissue. The wound, covered by scar tissue, was healed, and we decided not to suture it. We closed the conjunctival incision with a reabsorbable suture.

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