Blunt Ocular Trauma Complicated by Iridoplegia due to Suspected Traumatic Iritis: A Case Report

Blunt Ocular Trauma Complicated by Iridoplegia due to Suspected Traumatic Iritis: A Case Report

Authors

  • Pande Komang Wahyu Pradana General Practitioner, Dharma Kerti General Hospital, Tabanan Regency, Bali, Indonesia
  • Ida Ayu Prama Yanthi Opthalmology Consultant, Dharma Kerti General Hospital, Tabanan Regency, Bali, Indonesia

Keywords:

Ocular Trauma, Iridoplegia, Traumatic Iritis

Abstract

Background: Ocular trauma is defined as any injury affecting the eye and its surrounding structures. In Indonesia, ocular trauma is a leading cause of blindness, following cataracts, glaucoma, refractive errors, retinal disorders, and corneal abnormalities.

Case: We report the case of a 52-year-old male patient who presented with a red eye after being struck by a wood splinter. Physical and ancillary examinations were conducted to establish a diagnosis of blunt ocular trauma complicated by iridoplegia secondary to suspected traumatic iritis. The patient received initial treatment in the Emergency Department, which included Prednisolone 10mg/ml administered six times daily to the left eye (OS) to reduce inflammation, Levofloxacin 5mg/ml administered six times daily as an antibiotic, and Diclofenac Sodium 50 mg taken orally twice daily.

Conclusion: The primary goals of management for this patient were to restore vision and prevent infection. The purpose of this case report is to highlight the diagnostic and therapeutic approach in a patient with ocular trauma. Furthermore, the authors emphasize the critical role of ancillary examinations in this case.

References

Aghadoost D. A Brief Overview of Occular Trauma. Arch Trauma Res. 2014 Jun 29;3(2).

S P. Ocular Trauma - Management: A Case Report. Open Access J Ophthalmol. 2022 Jan 31;7(1):1–6.

Janet Nurul, Neneng Heljianti, Ary Anggara. TRAUMA OKULI : LAPORAN KASUS. Jurnal Medical Profession (. 2020;2.

Dewi NT, Widyasari PRA, Sakti FK, Kartiningsih IAP. Penetrating ocular injury due to fish hook accident: A case report. Intisari Sains Medis. 2022 Feb 24;13(1):87–90.

Mohseni M, Blair K, Gurnani B, Bragg BN. Blunt Eye Trauma. StatPearls [Internet]. 2023 Jun 11 [cited 2025 Mar 7];

Mahan M, Purt B. Ocular Trauma Prevention Strategies and Patient Counseling. StatPearls [Internet]. 2024 Feb 12 [cited 2025 Mar 7];

Satyawali D, Satyawali V, Pandey S. Severe Ocular Trauma and the Race Against Time in its Management: A Case Series. Cureus. 2022 Dec 19;

Neuro-Ophthalmology. 2023.

Thuma TBT, Bello NR, Rapuano CJ, Wasserman BN. Resolution of traumatic mydriasis and accommodative dysfunction eight years after sweetgum ball ocular injury. Am J Ophthalmol Case Rep. 2022 Jun 1;26.

Gurnani B, Kim J, Tripathy K, Mahabadi N, Edens MA. Iritis. Clinical Infectious Disease, Second Edition [Internet]. 2023 Aug 25 [cited 2025 Mar 7];97–101.

Engelhard SB, Patrie J, Prenshaw J, Bajwa A, Monahan R, Reddy AK. Traumatic uveitis in the mid-Atlantic United States. Clinical Ophthalmology. 2015 Oct 5;9:1869–74.

Traumatic Iritis - EyeWiki [Internet]. [cited 2025 Mar 8].

Kaur K, Gurnani B. Slit-Lamp Biomicroscope. 2023 Jun 11 [cited 2025 Mar 8];

Gupta A, Kumar P, Gupta S. Tonometry. Childhood Glaucoma: a Case Based Color and Video Atlas [Internet]. 2023 Dec 12 [cited 2025 Mar 8];31–42.

Mohseni M, Blair K, Gurnani B, Bragg BN. Blunt Eye Trauma. StatPearls [Internet]. 2023 Jun 11 [cited 2025 Mar 8];

Taskiran Comez A, Ozbas M. Chapter Evaluation and Management of Ocular Traumas [Internet].

Ocular trauma: classification, management and prognosis. British Journal of Hospital Medicine [Internet]. 2013;47(7).

Heath Jeffery RC, Dobes J, Chen FK. Eye injuries Understanding ocular trauma. Reprinted from AJGP. 2022;51(7).

Karaca U, Durukan HA, Mumcuoglu T, Erdurman C, Hurmeric V. An unusual complication of blunt ocular trauma: A horseshoe-shaped macular tear with spontaneous closure. Indian J Ophthalmol. 2014;62(4):501–3.

Ababneh LT, Mohidat H, Abdelnabi H, Kana’an MF, Tashtush NA, El-Mulki OS, et al. Hospital-based ocular trauma: Factors, treatment, and impact outcome. Clinical Ophthalmology. 2019;13:2119–26.

Downloads

Published

2025-06-26

How to Cite

Pande Komang Wahyu Pradana, and Ida Ayu Prama Yanthi. 2025. “Blunt Ocular Trauma Complicated by Iridoplegia Due to Suspected Traumatic Iritis: A Case Report”. The International Journal of Medical Science and Health Research 13 (5): 48-59. https://doi.org/10.70070/hadr0n69.