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.
Andonegui J, Ferro J. Subconjunctival Cataract After Trauma. Arch Ophthalmol. 2002;120(8):1102. doi:10.1001/archopht.120.8.1102