Background: We report a complex case of ocular trauma which was managed by multidisciplinary specialty strategically for optimal outcomes.
Findings: A 26 yr old man presented to us with a history of sustaining an injury to his left eye in a road traffic accident. At presentation, he had a large central stellate, full-thickness corneal tear with iris loss. Primary laceration repair was done and later he developed refractory glaucoma. There was near total aniridia. This issue was addressed with combined Ahmed glaucoma valve implantation, Aniridia Scleral fixated intraocular lens and limited anterior vitrectomy. His visual acuity finally improved to 6/24 from an accurate projection of the rays.
Conclusion: Ocular trauma is a multidisciplinary specialty. A timely, stepwise and an appropriate intervention can help patients achieve desired outcomes.