A Patient With Ocular Penetration and Traumatic Cataract During Double-Eyelid Blepharoplasty

We report a patient who developed ocular penetration with a traumatic cataract following double-eyelid blepharoplasty. A 19-year-old woman experienced immediate visual loss in her left eye after surgery. A slit-lamp examination revealed puncture wounds involving the cornea, iris, and full-thickness lens capsule, suggesting a linear penetrating injury. Due to the development of a traumatic cataract, the patient underwent phacoemulsification with intraocular lens implantation combined with pars plana vitrectomy. Postoperatively, visual acuity improved significantly without retinal complications. This case emphasizes the potential for severe intraocular injury during eyelid surgery and highlights the need for greater attention to cautious anesthetic techniques.