Right eye trauma, corneal laceration repair, endophthalmitis, vitrectomy, lens extraction

Patient's question:

My child is 8 years old this year. Around 3:00 PM on June 3, 2014, during the school break time, he was injured in his right eye by a pencil thrown by himself. It wasn't very painful at the time. The next morning, the pain became unbearable, and when taken to the Second Affiliated Hospital of Zhejiang University, the severity of the situation was realized. At around 5:00 PM, since the anesthesiologist had already left for the day, surgery could not be arranged. The surgery was performed three days after the incident in the morning, and hormone medication was used for 10 days.

Doctor's answer:

Hello! It appears the injury is quite severe, and you have undergone an eye debridement and suture, along with a lens extraction and vitrectomy.
1. The likelihood of inflammation recurring is low, but it is still possible, so close monitoring is necessary.
2. Regarding the issue of implanting an artificial lens, it depends on the current vision after refraction. If the vision does not improve after refraction, implanting the lens may not be meaningful. If it can improve vision, artificial lens implantation can be considered. The risk of intraocular bleeding during artificial lens implantation is very small, but it cannot be guaranteed that bleeding will not occur.
3. From the images, the pupil is also dilated. If necessary, a pupil constriction surgery may be performed during the artificial lens implantation.
Overall, injuries, especially severe ones, vary from person to person. It is essential to follow the advice of the treating physician.
For reference only.

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