Dr.Shruti Inder Jhawar, S20505, Dr. Chinmay Nakhwa, Dr. Nitesh Agrawal
A 67 year old female with BCVA 1/60 , non dilating pupil , nuclear sclerosis grade 3 cataract, high axial myopia was taken for phacoemulsification under peribulbar anesthesia in left eye, right eye being pseudophakic ,during which globe perforation was suspected by subtle resistance and balooning of conjunctiva. Retinal hemorrhage and retinal break was noted inferotemporally on indirect ophthalmoscopy. Immediately, barrage laser was done to the retinal break .She was followed up for 4 weeks ,until hemorrhage cleared after which phacoemulsification under topical anaesthesia was done.She had final BCVA of 6/9 in LE. The management of perforation depends on the clinical presentation of the patient and can vary from observation to laser photocoagulation to pars plana vitrectomy .The time of intervention is very crucial and it has a deep impact on the anatomical and visual outcomes, in a patient planned for cataract surgery.So an early diagnosis and intervention is warranted in such cases.
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