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Traumatic Cataract and Mydriasis
A 68-year-old physician had suffered a bungee cord injury to his right eye 8 months prior to surgery. He had symptoms of bothersome glareand photophobia due to a traumatic mydriasis that left him with a pupil permanently dilated to 7 mm in diameter. Because a progressive cataract had impaired his vision to a level of 20/50, he elected to undergo cataract surgery. There was no preoperative phacodonesis. As this case illustrates, traumatic cataracts challenge surgeons to diagnose and manage intraoperative zonulopathy, optimize the IOL’s long-term fixation and centration, and consider or repair concomitant iris defects.
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