Open globe injuries (OGIs) are among the most common types of ocular trauma within Iran. Cases of penetrating ocular trauma due to long metal wire are challenging, so reported incidents are valuable in determining outcomes and proper treatment courses. The aim of this study is to report 2 cases that referred to Khalili hospital, Shiraz, due to OGIs with a long metal wire.

case report

case description: Case 1 was a 24 y/o man with ocular trauma to the left eye with a 2cm metal wire that caused corneal laceration and traumatic cataract that the wire had been embedded in the lens .The second case was a 29y/o man with a penetrating trauma to the right eye with an about 2.5 cm metal wire, 3 hours prior to admission, which was embedded in the localized cataractous lens. The lens became totally cataractous within about 2.5 hours. Both cases transferred to operating room and wires were removed and then corneal lacerations were repaired and in the next session,one week after the first operation, lensectomy and intraocular lens (IOL) implantation has been performed.Both cases had similar prognosis, no sign of endophthalmitis had been occurred before or after the operations. In both cases the posterior capsules were intact and IOL had been implanted successfully.

Management of penetrating ocular trauma is sometimes challenging, especially in the presence of intraocular foreign body. Management of coexisting cataract and corneal laceration is controversial. Some of the surgeons do cataract surgery in the same stage as repairing the corneal laceration, although the other ones prefer to do cataract surgery in next session after the repair of the corneal laceration. The severity of the inflammation, the presence of cortical material in anterior chamber, and the patient medical condition are among the most important factors to decide the appropriate approach.