Shattered Eyewear, Preserved Sight: Successful Repair of a Traumatic Corneal Laceration

A gentleman in his 40s presented to eye casualty following trauma from shattered eyeglasses, which caused a full-thickness corneal laceration in his left eye. Slit-lamp examination revealed an approximate 7 mm paracentral wound, 3 mm from the visual axis. There was associated mild vitreous haemorrhage and reduced vision. Seidel test was negative, indicating spontaneous self-sealing of the wound. However, this resulted in significant irregular astigmatism and refractive error, compromising visual acuity. Lens structure was intact, with the presence of fibrin strand from the anterior lens capsule. Urgent surgical repair was performed with interrupted 10-0 nylon sutures to restore anatomical integrity and regularise the corneal contour. The anterior chamber was reformed, and a bandage contact lens was placed. Postoperative management included topical antibiotics, corticosteroids, and lubricants. The early postoperative course was uncomplicated, with a stable wound and maintained visual acuity. This case highlights the importance of recognising self-sealed corneal lacerations, where irregular healing can cause optical distortion, and demonstrates the role of surgical repair in optimising both structural and visual outcomes.