Combined surgery for severe eye trauma with extensive iridodialysis, posterior lens dislocation, and intractable glaucoma

A 44-year-old woman sustained a severe left eye contusion from the explosio n of a plastic bottle containing fermented orange juice. This resulted in e xtensive iridodialysis; posterior crystalline lens dislocation, and intract able glaucoma. Eleven days after the injury, combined surgery of trabeculec tomy with mitomycin-C, pars plana vitrectomy, lens removal, iridodialysis r epair, and scleral-fixated intraocular lens implantation under general anes thesia was performed. Intraocular pressure (IOP) was under control until 5 weeks postoperatively; glaucoma implant surgery was then performed. At the last follow-up 15 months after the combined surgery, best corrected visual acuity was 20/50 and IOP was 15 mm Hg without medication. Combined surgery can be considered a sale, effective option in the management of severe eye trauma in selected cases.