Manifestation of Corneal Wound Gap during Cataract Surgery: A Case Report

Significance: Intraoperative AS-OCT showed great advantages in the treatment of the patient with traumatic cataract and corneal perforation, and could be used to real-time monitor the changes of corneal wound and the IOL position. Purpose: To report the change of corneal wound in a patient with traumatic cataract and corneal perforation during the anterior segment-OCT-assisted (ASOCT- assisted) cataract surgery. Case Presentation: A 48-year-old male patient, whose right eye was injured by a steel wire two months ago, presented with traumatic cataract and corneal perforation. When he was referred to our hospital, the corneal epithelium and part of anterior stroma at the laceration had healed. Therefore, the corneal laceration was not sutured, and AS-OCT was conducted to monitor the corneal laceration and assess the IOL position during cataract surgery. The laceration maintained closed, and no liquid leakage through corneal laceration was found throughout the surgical operation. IOL was placed into the capsular bag, and the visual acuity of the affected eye recovered to 3/10 postoperatively. Conclusions: Intraoperative AS-OCT could be used to real-time monitor the changes of corneal wound and the IOL position, and showed a significant advantage in the treatment of the eye with traumatic cataract and corneal perforation