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Management of Double Perforation of the Eyeball- A Case Report 1. Sajedur Rahman, Lt. Col. (Dr) Md.¹ ¹Combined Military Hospital & Square Hospital, Dhaka, Bangladesh Purpose: Ocular double perforation is a devastating condition for the eye and chance of having good or reasonable vision after treatment is vary rare. We tried to localize the posterior perforation and seal the perforation by keeping the existing blood clot in the posterior hole and by endolaser. Methods: A 45 years old soldier was suffering from double perforation following grenade blast with inert foreign body of about 1 mm size in the optic canal, without involving the optic nerve. Diagnosis was made from history, X-ray skull, B.scan of the right eye and CT scan of the brain and orbit. The patient underwent pars plana vitrectomy, endolaser and gas endotamponade in CMH Dhaka. Results: After six months follow up his visual acuity right (VAR) was 6/24 without glass. Fundus examination showed no sing of retinal detachment or proliferative vitreoretinopathy(PVR) Conclusions: Double perforation of the eye is a devastating condition. Early diagnosis and appropriate surgical man oeuvre can save the eye ball, with fair chance of visual recovery. |
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