ArticleCureus2026
The Eye That Hid Its Wound: A Case Report of Corneal Perforation Despite a Negative Seidel Test.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A 58-year-old man presented with pain, redness, watering, and sudden diminution of vision in the right eye following blunt trauma from a stone. Slit-lamp examination revealed mild corneal edema, a central corneal defect, a traumatic cataract with probable anterior lens subluxation, and a distinct air bubble within the anterior chamber. Seidel's test was negative, and no iris prolapse or obvious corneal laceration was identified. The presence of intracameral air raised a strong suspicion of prior communication between the anterior chamber and the external environment, suggestive of a self-sealed corneal perforation, probably secondary to countercoup forces generated by blunt trauma. B-scan ultrasonography demonstrated an attached retina in all quadrants. Prompt surgical management was undertaken, resulting in restoration of globe integrity and stabilization of the ocular condition. Occult open-globe injuries following blunt trauma may present without an overt wound leak or classic signs of perforation. An isolated intracameral air bubble should alert clinicians to the possibility of a self-sealed globe injury, even in the setting of a negative Seidel test. Careful anterior segment evaluation and timely intervention are essential to prevent vision-threatening complications and preserve ocular integrity.
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