Spontaneous regression of a traumatic cataract in a patient with penetrating corneal injury: a case report

Background: We present the case report of a patient who experienced spontaneous resolution of a cataract following a penetrating corneal injury. This case underscores the potential value of conservative treatment, offering a favorable outcome for both patient and surgeon without requiring surgical intervention. Case presentation ：A 27-year-old man presented with a corneal perforation injury and traumatic cataract in his left eye caused by a relatively clean wire. The patient was managed conservatively with antibiotics, corticosteroids, and compression bandages without surgical intervention. Remarkably, by the fourth day post-injury, the lens opacity began to resolve, and visual acuity in the injured eye improved from 20/500 to 20/20. Subsequent follow-up visits revealed no recurrence of cataracts or vision loss. Conclusions: This case highlights the importance of considering age, clinical condition, accommodation capacity, and prognosis when determining the treatment approach for cataracts. Conservative management that preserves the lens may be beneficial for young patients with traumatic cataracts while avoiding surgical intervention.