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Excellent visual outcome following prolonged pencil-lead ocular injury

Poster Details

First Author: A.Mokhtar MALAYSIA

Co Author(s):    U. Md Noh   N. Zainol   Z. Asnir   Z. Zainal Abidin   R. Hussin  

Abstract Details


To report a case of traumatic cataract with good visual outcome despite severe post- operative inflammation


District Hospital


Case report


A 47- year- old Malay lady sustained mechanical pencil injury to the cornea and lens of two weeks duration. Visual acuity at presentation was 6/24. There was a pencil- lead sealed corneal perforation with scar at paracentral cornea, and shallow anterior chamber (AC). Interestingly, there was no AC activity. Peripheral anterior and posterior synachiae was noted superiorly, and the anterior lens capsule was breached due to pencil- lead touch. The pencil lead was touching corneal endothelium and embedded into the iris and cataractous lens. She underwent uneventful foreign body removal and extracapsular cataract extraction with intraocular lens implantation at the same sitting. The posterior capsule was intact. Post- operatively, patient developed severe inflammation, which lasted for three months. She was treated with intensive guttate maxitrol, with good response. Her final visual acuity was 6/6 N5.


A pencil- lead injury which breached the cornea and lens may present without signs of anterior chamber activity. Yet post- operatively, severe inflammation may still occur, necessitating prolonged topical steroid. Good control of inflammation allows for excellent visual outcome without long term complications

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