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We report a case of spontaneous total iris avulsion that occurred during corneal wound hydration following an uneventful phacoemulsification procedure. An 86-year-old woman underwent cataract surgery on her right eye, during which a single-piece acrylic intraocular lens (Bausch and Lomb Akreos Adapt Advanced Optics, Bausch and Lomb Incorporated, Rochester, NY, USA) was implanted in the bag, and the viscoelastic material was removed. During corneal wound hydration, total iris avulsion was observed, with the iris prolapsing out of the anterior chamber through the main wound.

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Article Synopsis
  • The study analyzed open globe injury (OGI) cases in children under six, involving 106 patients predominantly male (57.5%) with an average age of 4.14 years.
  • Sharp objects were the leading cause of OGI, primarily affecting the right eye and resulting in various complications, including traumatic cataracts and endophthalmitis.
  • Fast medical intervention post-injury can reduce the risk of complications like endophthalmitis, highlighting the need for better awareness and strategies to mitigate injury severity in young children.
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Carotid-cavernous fistula (CCF) is a rare condition involving an abnormal communication between the carotid artery and the cavernous sinus. We present a unique case of posttraumatic unilateral CCF initially misdiagnosed as a corneal melt with iris prolapse and orbital cellulitis. The patient, a 25-year-old male, experienced swelling, bleeding, and sudden vision loss in the affected eye following a fall.

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[Case report of a severe Mooren's ulcer].

Ann Pathol

October 2024

Service de pathologie, CHU de Reims, 51100 Reims, France; MEDyC UMR 7369, université de Reims Champagne-Ardenne, 51100 Reims, France.

Mooren's ulcer is a painless and idiopathic ulcer of the peripheral cornea related to autoimmunity against a corneal stromal antigen, calgranulin C. Corneal involvement is isolated. There are no specific histopathological features to differentiate Mooren's ulcer from pseudo-Mooren's, the latter being part of a systemic disease.

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Article Synopsis
  • * A study at Khalili Hospital analyzed 141 cases of these injuries, finding that knives, wood, and glass were common causes, with a significant number of injuries resulting in serious conditions like iris prolapse and traumatic cataracts.
  • * The research underscores the importance of preventive measures, parental supervision, and timely medical intervention to reduce the risk of severe outcomes, like retinal detachment, in young children who suffer from these injuries.
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