TRAUMATIC CATARACT ASSOCIATED TO AN ACUTE POSTERIOR VITREOUS DETACHMENT FOLLOWING A BENIGN TRAUMA.

To report the case of traumatic cataract associated with total PVD in the left eye of a young male secondary to a benign contusive trauma: juggling a soccer ball.

Department Ophthalmology A. Hopital des specialites. Rabat. Morocco

We report the case of a 21 years old male, with no medical history, who presented to the emergency room a few hours after minimal trauma. He described a floater in his left eye that happened after a minimal trauma with a soccer ball.

The visual acuity was 6/20 OS and 20/20 OD. The pupillary light reflex was present. Intraocular pressure was normal. Slit-lamp biomicroscopic examination showed conjunctival hyperemia. The cornea, anterior chamber, iris, and lens were unremarkable. Fundoscopy of the OS objectives a total PVD with a large peripapillary Weiss ring (Figure 1). There was no vitreous or retinal bleeding, retinal concussion, or retinal detachment. The examination of the OD was normal. All symptoms spontaneously resolved a week later, except myodesopsia which disappeared more weeks later.

 PVD is a rare condition in cranio-orbital traumas, even more in minimal trauma. It is a common occurrence in old age. It can be spontaneous or secondary to a multitude of mechanisms. Symptoms of PVD are photopsia and myodesopsia. Symptoms can spontaneously be resolved.