Trail of trauma in occult ocular injury

A 25-year-old male carpenter presented with blurred vision and glare in his left eye 6 months following a hit and missed trauma for which he took medications from a local pharmacy. His uncorrected vision in the right eye and left eye was 6/12 and finger counting at 2 meters, respectively. Slit lamp examination revealed a small, self-healed full-thickness corneal opacity with localized traumatic cataract in his left eye. Dilated fundus examination revealed a localized foreign body on the posterior retina surrounded by pigmented clumps. Scheimpflug image highlighted a focal corneal opacity, localized anterior capsular opacity with an acoustic shadow, and a posterior subcapsular opacity associated with a characteristic “sinking lens-matter” sign, outlining the track of the foreign body Fig. 1.1 The patient was immediately referred to a vitreo-retinal surgeon for necessary surgical intervention. Hence, Scheimpflug imaging can be a useful modality for the detection and documentation of the track of a foreign body in cases of occult ocular trauma.Figure 1: Focal corneal opacity and localized anterior capsular cataract with characteristic “sinking lens-matter” signAuthor’s contributions Dr Pawan Prasher – Conceived the study; Dr Rashmi Malhotra – Reviewed the literature and developed the manuscript framework; Both authors discussed and contributed to the final manuscript. Declaration of patient consent The author certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in this journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.