Globe rupture with aphakia, aniridia, secondary glaucoma and late corneal decompensation: A multi-staged approach to management

Severe blunt ocular trauma may result in immediate and delayed complications requiring appropriate management algorithms. We hereby report a case of globe rupture, aphakia, traumatic aniridia, and secondary glaucoma in a 33-year-old male following road traffic accident. He was treated initially by primary repair followed by novel combined approach of aniridia IOL with Ahmed glaucoma valve implantation. Delayed corneal decompensation required deferred penetrating keratoplasty. After a follow-up of 3.5 years after last surgery, patient maintains good functional vision with stable IOL, clear corneal graft and controlled intraocular pressure. A meticulously planned and staged management approach appears better suited in complex ocular trauma in such scenarios giving a good structural and functional outcome

Comparison of saccadic reaction time between normal and glaucoma using an eye movement perimeter.

Aim: To compare the saccadic reaction time (SRT) in both the central and peripheral visual fi eld in normal and glaucomatous eyes using eye movement perimetery (EMP). Materials and Methods: Fift y-four normal and 25 glaucoma subjects underwent EMP and visual fi eld testing on the Humphrey Field Analyser (HFA) 24-2 program. The EMP is based on infrared tracking of the corneal refl ex. Fift y-four test locations corresponding to the locations on the 24-2 HFA program were tested. SRTs at diff erent eccentricities and for different severities of glaucoma were compared between normal and glaucoma subjects. Results: Mean SRT was calculated for both normal and glaucoma subjects. Mann-Whitney U test showed statistically signifi cant (P < 0.001) diff erences in SRT’s between normal and glaucoma subjects in all zones. Conclusion: SRT was prolonged in eyes with glaucoma across diff erent eccentricities.