A Case of Post-traumatic Sphincter Tear Resembling an “Inverted Apple”

The idiom “apple of my eye” is traditionally used to denote something that is cherished more than the rest. Quite contrary to that convention is this case of a 40-year-old construction worker with an ironic, inverted apple in his eye. He presented with an injury to the right eye and was found to have an iris sphincter tear at the 5 o’clock position, a traumatic cataract, an intravitreal foreign body with a seemingly self-sealed corneal entry wound [Figure 1]. The leaf-like sphincter tear, with the dilated pupil resembling the fruit, draws parallels to the appearance of an upended apple.[1-4]Figure 1: Slit lamp photograph of the image showing iris sphincter tear in the eyeDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.

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Publication Details

Journal
TNOA Journal of Ophthalmic Science and Research
Published
2025-01-01
DOI
https://doi.org/10.4103/tjosr.tjosr_56_24
Primary Topic
Surgical Sutures and Adhesives
Type
article
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article

A Case of Post-traumatic Sphincter Tear Resembling an “Inverted Apple”

Prasanna Venkatesh Ramesh, Ajanya K Aradhya, Sai Thaejesvi Gopalakrishnan
TNOA Journal of Ophthalmic Science and Research
Surgical Sutures and Adhesives
article

A Case of Post-traumatic Sphincter Tear Resembling an “Inverted Apple”

Prasanna Venkatesh Ramesh, Ajanya K Aradhya, Sai Thaejesvi Gopalakrishnan
article en

Abstract

The idiom “apple of my eye” is traditionally used to denote something that is cherished more than the rest. Quite contrary to that convention is this case of a 40-year-old construction worker with an ironic, inverted apple in his eye. He presented with an injury to the right eye and was found to have an iris sphincter tear at the 5 o’clock position, a traumatic cataract, an intravitreal foreign body with a seemingly self-sealed corneal entry wound [Figure 1]. The leaf-like sphincter tear, with the dilated pupil resembling the fruit, draws parallels to the appearance of an upended apple.[1-4]Figure 1: Slit lamp photograph of the image showing iris sphincter tear in the eyeDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.

TNOA Journal of Ophthalmic Science and ResearchVol. 63(1)
Joseph Eye Hospital (IN)
Gender equality
Openalex Percentile: Top 89%
Surgical Sutures and Adhesives
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