1023: Foreign body capsule rupture

This patient sustained a serious ocular injury: a foreign body pierced the cornea, punctured the anterior lens capsule, and now remains embedded in the corneal stroma. What is the best way to handle this challenging case. Should you remove the traumatic cataract first or remove the corneal foreign body first? Should you implant an IOL or leave that for a future date? How to best remove the deeply embedded corneal foreign body? Should you suture the cornea? At what depth for the suture passes? We have featured similar cases of corneal laceration with anterior capsule rupture here and here. If you are an ophthalmologist in training who is taking emergency call, you must understand the correct management of these cases.

click to learn how our guest surgeon successfully manages this tough case:

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