Dr.Jyoti Gontia

Dr. SWETA SINGH, Dr.Neetu Kori, DR. ANKITA BALA

Abstract

INTRODUCTION: IN CHILDREN PUPILLARY BLOCK IS A RARE COMPLICATION OF CATARACT SURGERY WITH OR WITHOUT LENS IMPLANTATION.APHAKIA MAY OCCUR AS A RESULT OF TRAUMA, LENS SUBLUXATION OR DISLOCATION,LENSECTOMY OR SURGICAL MANAGEMENT OF A VISUALLY SIGNIFICANT CATARACT

CASE DISCUSSION:7 YR FEMALE WITH COMPLAIN OF DOV RE FOR 10 MONTHS C/b TRAUMA RE, CORNEAL TEAR WAS REPAIRED ELSEWHERE. AFTER 6 MONTHS OF REPAIR Pt PRESENTED TO US WITH TRAUMATIC CATARACT & IRIS ATROPHY, MANAGED BY LENSECTOMY. Pt LOST FOLLOWUP & PRESESNTED AGAIN AFTER 3 MONTH OF LENSECTOMY. O/E: VISION OD PL POSITIVE PR ACCURATE, OS 6/6. ANTERIOR SEGMENT EXAMINATION OD 15° EXOTROPIA , MACUALR CORNAL OPACITY, IRIS PATTERN DISTURBED, OS WNL. FUNDUS OD N/A & OS WNL .Pt WAS MANAGED WITH RE SINGLE PASS 4- THROW PUPILLOPLASTY, & PLANNED FOR 2° IOL IMPLANTATION IN NEAR FUTURE

CONCLUSION: PUPILLARY BLOCK AS WELL AS APHAKIA EARLY MANAGEMENT IS IMPORTANT IN CHILDREN AS TO IMPROVE VISION & QUALITY OF LIFE AS WELL AS TO PREVENT AMLYOPIA