ABSTRACT
Ocular trauma is an significant cause of preventable monocular blindness in the world. Contusions, lamellar or full-thickness laceration of the ocular coats and posterior segment afflictions are the major clinical manifestations. Ocular trauma represents the main risk factor for infectious keratitis. Work safety guidelines, vigilance in initiating treatment and education by front-line physicians should be reinforced. A pressure Seidel test should be done to rule out full-thickness corneal perforation which was negative in this case. The need for intervention in cases of self-sealed perforation should be assessed on a case-to-case basis. In cases where the anatomy of the eye is conserved with no aqueous leak, the patient can be managed conservatively on antibiotics and lubricants and kept on close follow-up. An examination under anaesthesia is always necessary to make a definitive diagnosis in a case of an infant or neonate with whitish opacity since birth with associated redness and watering.
