The lens may be extruded through the wound, and the iris prolapsed.
"Manual of Surgery Volume Second: Extremities--Head--Neck. Sixth Edition."
Alexander Miles Alexis Thomson
Then you have cause for intermittent pulse, as the heart finds no passage of blood through the prolapsed diaphragm which is also stopping the vena cava and producing universal stagnation of blood and other fluids in all organs and glands below the diaphragm.
"Philosophy of Osteopathy"
Andrew T. Still
Never for once has it said or intimated that the diaphragm is prolapsed by misplaced ribs to which it is attached, or that it is diseased by hurts of spine and nerves above its own location.
"Philosophy of Osteopathy"
Andrew T. Still