Management of Traumatic Cataract with Capsular Rupture and Secondary Glaucoma Following Ocular Penetrating Injury by Automotive Door: A Case Report

Background Traumatic cataracts, often associated with penetrating injuries, pose significant challenges due to concurrent ocular damage. This case underscores the importance of staged surgical intervention and adaptive intraocular lens strategies in complex traumatic cataracts. Case presentation A 52-year-old male sustained left-eye injury from automotive door, resulting in corneal-conjunctival laceration, iris incarceration, traumatic cataract and secondary glaucoma. Emergency primary repair was performed, followed by secondary lensectomy, anterior vitrectomy and three-piece intraocular lens (IOL) implantation in the ciliary sulcus. Postoperative uncorrected visual acuity improved to 20/20 at 3-month follow-up. Conclusions Timely surgical repair, combined management of complications (secondary glaucoma), appropriate surgical strategies and tailored IOL implantation are critical for visual rehabilitation in complex traumatic cataracts.