First case of coloboma, lens neovascularization, traumatic cataract, and retinal detachment in a young Asian female

A young girl post-stick injury presented with traumatic cataract and lens neovascularization in OS and iris coloboma, key whole pupil, and cataractous changes in OD. Fundoscopy revealed chorioretinal coloboma OD and retinal detachment on B scan OS. In view of guarded visual prognosis, the patient was advised observation in OU

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Cases of Undiagnosed Open Eye Injury: Clinical Features, Diagnosis and Surgical Treatment

Ophthalmology in Russia ◽

10.18008/1816-5095-2019-3-393-398 ◽

2019 ◽

Vol 16 (3) ◽

pp. 393-398

Author(s):

E. V. Chentsova ◽

I. B. Alekseeva ◽

E. N. Verigo ◽

V. A. Vlasova ◽

E. V. Fedoseeva ◽

...

Keyword(s):

Visual Acuity ◽

Correct Diagnosis ◽

Functional Results ◽

Diagnostic Methods ◽

High Tech ◽

Eye Injury ◽

Traumatic Cataract ◽

Iol Implantation ◽

First Case ◽

Open Injury

Open eye injury (OTG), in the structure of eye damage is up to 35.0–85.0 %, the level of disability among the working part of the male population from 26 to 55 years ranges from 25.0–47.5 %, and the removal of the eyeball due to traumatic pathology is 6.5–26.3 % of cases. The aim of the work is to demonstrate the consequences of undiagnosed cases of open injury, successfully treated in the Department of traumatology and reconstructive surgery. Attention is focused on some diagnostic techniques that contribute to the correct diagnosis, especially in undiagnosed and unoperated timely sub — conjunctival sclera ruptures that occur in 1.0–2.6 % of cases of OTG. This pathology leads to the development of severe complications with a persistent decrease in visual functions, detachment of the inner shells, with the formation of staphylomatous, cystic changes, as a rule, along the upper limb in 0.5–1.0 mm from it. There are 3 clinical cases with the description of surgical restoration of the integrity of the scleral capsule in combination with intraocular surgery, which led to good anatomical, cosmetic and functional results. In the first case, the patient with the consequence of injury with wooden shavings 6 months ago was performed a delayed revision of vascular staphyloma after separation of the conjunctiva and plastic defect sclera cadaver scleral flap. Visual acuity of OD increased from 0.4 to 0.8. The second case is the consequences of an open eye injury, dislocation of the lens under the conjunctiva. The patient underwent a delayed revision of the scleral wound with removal of the lens, microinvasive vitrectomy with removal of hemophthalmos, iris plasty and secondary IOL implantation. Visual acuity improved with pr.l.certae up to 0.7. The third case is a patient with the consequences of open trauma, staphyloma vascular, complete coloboma of the iris, traumatic cataract. Were facoaspiration traumatic cataract with IOL implantation and plasticity of the iris, delayed revision of the scleral wound plasty of the defect cadaverous sclera. Visual acuity improved with pr.l.certae to 0.2 n/K. Conclusion. Thus, thanks to the use of clinical and diagnostic methods of research and high-tech surgical technique of treatment, it was possible to achieve optimal anatomical, cosmetic results in patients with long-term consequences of complicated open eye injury. Despite the severe anatomical consequences, good functional results were obtained in all cases. In our opinion, this can be explained by the absence of damage to the choroid during the injury, which, according to the literature, mainly leads to massive bleeding into the inner shells and cavities of the eye, the development of ischemia and is the trigger for the development of vitreoretinal proliferation.

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Hyphema in Open-Globe Versus Closed-Globe Injuries in Operation Iraqi Freedom and Enduring Freedom: 2001–2011

Military Medicine ◽

10.1093/milmed/usz405 ◽

2019 ◽

Vol 185 (5-6) ◽

pp. e768-e773 ◽

Cited By ~ 1

Author(s):

Natalie R Miller ◽

Grant A Justin ◽

Won I Kim ◽

Daniel I Brooks ◽

Denise S Ryan ◽

...

Keyword(s):

Retinal Detachment ◽

Medical Center ◽

Visual Outcome ◽

Walter Reed Army Medical ◽

Cataract Formation ◽

Traumatic Cataract ◽

Open Globe ◽

Ocular Injuries ◽

Iraqi Freedom

Abstract Introduction The goal of this study is to update the incidence of hyphema in Operation Iraqi (OIF) and Enduring Freedom (OEF). We wanted to assess associated ocular injuries and final visual acuity (VA) in open-globe versus closed-globe injuries with a hyphema. Materials and Methods We performed a retrospective review of the Walter Reed Ocular Trauma Database (WRTOD) to identify U.S. Service members and DoD civilians with hyphema who were evacuated to Walter Reed Army Medical Center between 2001 and 2011. Primary outcome measures were the final VA and differences in concomitant ocular injuries in open-globe hyphema and closed-globe hyphema. Results 168 of 890 eyes (18.9%) in the WROTD had a hyphema. Closed-globe injuries were noted in 64 (38.1%) eyes and open-globe injuries in 104 (61.9%) eyes. A final VA of less than 20/200 was noted in 88 eyes (51.8%). Eyes with hyphema were more likely to have traumatic cataract formation (odds ratio (OR) 6.2, 95% confidence interval (CI) 4.2–9.2, P < 0.001), retinal detachment (OR 4.2, CI 2.8–6.4, P < 0.001), angle recession (OR 8.1, CI 2.9–24.3, P < 0.001), and final VA of less than 20/200 (OR 3.7, CI 2.6–5.4, P < 0.001). Traumatic cataract formation (OR 7.4, CI 2.9–18.7, P < 0.001), retinal detachment (OR 6.1, CI 2.1–17.5, P < 0.001), and a final VA less than 20/200 (OR 6.1, CI 2.4–15.4 P < 0.001) were statistically more likely to occur with an open-globe hyphema than with a closed-globe hyphema. Conclusions Close follow-up in patients with hyphema is important due to the associated development of traumatic cataract and retinal detachment and poor final visual outcome.

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Big intraocular foreign body: Case report

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1308516g ◽

2013 ◽

Vol 141 (7-8) ◽

pp. 516-518

Author(s):

Aleksandar Gakovic ◽

Igor Kovacevic ◽

Jovana Bisevac ◽

Bojana Radovic ◽

Katarina Cubrilo ◽

...

Keyword(s):

Visual Acuity ◽

Foreign Body ◽

Retinal Detachment ◽

Detailed Examination ◽

Posterior Segment ◽

Intraocular Foreign Body ◽

Traumatic Cataract ◽

Normal Limits ◽

The Right ◽

Fitting In

Introduction. Penetrated injuries are most difficult injuries of the eye. Intraocular foreign body (IOFB) may lodge in any of the structures it encounters, from anterior chamber to the retina and choroid. Notable effects caused by foreign body injury include traumatic cataract, vitreous liquefaction, retinal and subretinal hemorrhages, retinal detachment and development of endophtalmitis. Case Outline. A 49?year?old man sustained injury of the right eye with a piece of metal wire. On admission visual acuity was VOD: 1.0 and lower intraocular tension TOD=6 mmHg (10?22 mmHg). Corneal entry wound was noticed near limb on 11h with a prominating foreign body of 18 mm in length that passed through the iris, lens and vitreous. X?ray findings confirmed existence of a large foreign body extending along the entire length of the globe. IOFB removal was done with anatomic forceps. On postoperative detailed clinical examination we observed retinal rupture in the upper temporal quadrant fitting in the area of the IOFB damaged retina. Laser photocoagulation of retinal tear (laser retinal barrage) was done. Visual acuity on discharge was the same (1.0) and intraocular tension was within normal limits (10 mmHg). Conclusion. Penetrated injury of eye requires detailed examination of all eye structures, beginning from the anterior to posterior segment. Timely diagnosed ruptures of the posterior segment of eye before the development of traumatic cataract, and adequate therapeutic procedures prevent serious complications of IOFB penetrated eye injury such as retinal detachment and permanent reduction of visual acuity.

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Results of foreign bodies removal from the posterior eyeball segment by transvitreal approach

Ophthalmology journal ◽

10.17816/ov9124-28 ◽

2016 ◽

Vol 9 (1) ◽

pp. 24-28 ◽

Cited By ~ 1

Author(s):

Mariya V Kataeva ◽

Vadim P Nikolaenko

Keyword(s):

Foreign Body ◽

Retinal Detachment ◽

Foreign Bodies ◽

Posterior Vitreous Detachment ◽

Traumatic Cataract ◽

Fluid Exchange ◽

Eye Trauma ◽

Post Operative Period ◽

Pars Plana ◽

Injured Patients

Purpose. To investigate transvitreal intraocular foreign body (IOFB) removal results, and to determine indications for this splinter removal approach. Materials and methods. A chart analysis of 35 cases with splinter eye trauma was carried out. In all patients, a pars plana vitreoretinal surgical procedure was performed to remove the IOFB. Results. The intraocular penetration of foreign body was accompanied by injuries of different eyeball structures, which presented as intravitreal hemorrhage, hyphema, subretinal bleeding, retinal detachment, traumatic cataract, iridocyclitis. Splitter removal was complemented by endolaser coagulation; scleroplastic component and gaz-fluid exchange. In 54.29% patients with trauma, a lensectomy had to be added to the vitrectomy with IOFB removal. As a result of treatment, visual acuity increased in 51.43% injured patients. In the late post-operative period, retinal detachment developed in 14.29% of cases. Conclusions. IOFB removal by transvitreal approach is recommended in intravitreal, pre- or intraretinal splitter position; in retro-equatorial foreign body localization; when intraoperative splitter visualization is possible; in posterior vitreous detachment formation.

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Frequency of pediatric traumatic cataract and simultaneous retinal detachment

Journal of American Association for Pediatric Ophthalmology and Strabismus ◽

10.1016/j.jaapos.2018.08.006 ◽

2018 ◽

Vol 22 (6) ◽

pp. 429-432 ◽

Cited By ~ 2

Author(s):

Howe Qiu ◽

Nathan A. Fischer ◽

Jennifer L. Patnaik ◽

Jennifer L. Jung ◽

Jasleen K. Singh ◽

...

Keyword(s):

Retinal Detachment ◽

Traumatic Cataract

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Surgical Management of a Case of a 360-Degree Giant Retinal Break

Ophthalmologica ◽

10.1159/000444811 ◽

2016 ◽

Vol 235 (4) ◽

pp. 241-241

Author(s):

Ahmed Elshewy

Keyword(s):

Retinal Detachment ◽

Ocular Trauma ◽

Silicone Oil ◽

University Hospital ◽

Anterior Leaflet ◽

Retinal Break ◽

Traumatic Cataract ◽

Epiretinal Membranes ◽

Posterior Hyaloid ◽

Retinal Slippage

Purpose: The aim is to describe tools and techniques that can be used to deal with total retinal detachment (open funnel) and associated proliferative vitreoretinopathy due to a 360-degree giant retinal break following ocular trauma. Setting/Venue: The video (available at www. karger.com/doi/10.1159/000444811) was created at the Ophthalmology Department, Faculty of Medicine Kasr Al Ainy, Cairo University Hospital, Cairo, Egypt. Methods: A 16-year-old female patient presented to the Cairo University Hospital after blunt ocular trauma. She had traumatic cataract, and ultrasound examination showed total retinal detachment. She was scheduled for surgery at the Cairo University Hospital. Phacoemulsification of traumatic cataract was done after insertion of the 3-port 23-gauge trocar system. The 25-gauge chandelier illumination system was used to assist the peeling of adherent posterior hyaloid and epiretinal membranes, allowing bimanual work using an end-gripping forceps and a diamond-dusted retinal scrapper. Removal of the vitreous surrounding the retinal funnel was performed, and a small perfluorocarbon (PFC) bubble was used to support the posterior pole. This was followed by refreshing the rolled edges of the retinal break and shaving the vitreous base and anterior leaflet of the giant break by surgeon-assisted scleral indentation. The eye was completely filled with PFC, and Argon laser retinopexy was performed. Direct PFC-silicone oil exchange was done to avoid retinal slippage (silicone oil 5,000 cSt was used). Results: Retinal attachment was successfully achieved at the end of the surgery. The silicone oil was removed 5 months after the initial surgery. The patient's uncorrected visual acuity 1 month after removal of the silicone was 0.4. Conclusions: The chandelier-assisted bimanual technique is an effective method for dealing with adherent posterior hyaloid and epiretinal membranes in a detached retina, particularly in cases of complex open-funnel retinal detachment. Proper shaving of the anterior leaflet and refreshing the edges of the retinal break helps decrease postoperative PVR formation. Direct PFC-silicone oil exchange in giant retinal breaks helps minimize the risk of retinal slippage occurrence.

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Retinal Detachment Repair in a Patient With Active Zika Virus Infection

Journal of VitreoRetinal Diseases ◽

10.1177/2474126416685495 ◽

2017 ◽

Vol 1 (1) ◽

pp. 81-83

Author(s):

Steven J. Ryder ◽

Jacqueline L. Tutiven ◽

Steven Gayer ◽

Darlene Miller ◽

Harry W. Flynn ◽

...

Keyword(s):

Retinal Detachment ◽

Virus Infection ◽

Surgical Management ◽

Zika Virus ◽

Vitreoretinal Surgery ◽

Active Phase ◽

Zika Virus Infection ◽

First Case

A patient had successful retinal detachment repair during the active phase of serologically confirmed Zika virus infection. To the best of our knowledge, this is the first case documenting a necessary vitreoretinal surgery in a patient with active Zika disease. As more traveling and domestic patients become infected, data on surgical management during active Zika viremia may prove useful.

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Injuries Related to "Toy" Firearms

PEDIATRICS ◽

10.1542/peds.79.3.473 ◽

1987 ◽

Vol 79 (3) ◽

pp. 473-474

Author(s):

Keyword(s):

Retinal Detachment ◽

Children And Adolescents ◽

Emergency Rooms ◽

Traumatic Cataract ◽

Eye Injuries ◽

Hospital Emergency ◽

Air Gun ◽

Sympathetic Ophthalmitis ◽

The Face

Both projectile and nonprojectile toys, and nonpowder guns such as air guns and air rifles, are categorized as toy firearms. Although the Academy realizes that the welfare of children and adolescents would be best served by banning these instruments, we are unable to prevent their availability and use. We offer this statement in an attempt to safeguard the young user from possible injury. Between 1980 and 1981, accidents involving projectile toys were responsible for 747 reported injunies to children younger than 15 years of age.1 Most of these injuries involved the face or eyes, 2.9% of these injuries required hospitalization, more than 400 days were lost from school and/or work, and nearly 3,000 days of activities were restricted. In addition, there have been severe or even fatal consequences following the use of substitute projectiles or live ammunition. Children have also died as a result of aspiration of projectiles. Accidents involving air guns and air rifles are an even more frequent cause of injury to children. In 1980, approximately 23,000 injuries associated with nonpowder guns were treated in US hospital emergency rooms.2 In two thirds of the cases the victim was less than 16 years of age. In a 1973 review of 105 air gun-related injuries to the eye, sequelae included traumatic cataract, retinal detachment, and sympathetic ophthalmitis.3 Eighteen of the injuries required enucleation of the eye. More than 70% of those injured were children 6 to 15 years of age. The continuing nature of this problem has been demonstrated by Sternberg et al4 in a 1984 review of 32 children with air gun-related eye injuries.

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Superficial temporal muscle fascia grafting: Successful transplant of surgical induced necrotizing sclerosis

10.21203/rs.2.1752/v1 ◽

2019 ◽

Author(s):

hsouna mehdi zgolli ◽

olfa fekih ◽

sonya mabrouk ◽

kais bakir ◽

imene zeghal ◽

...

Keyword(s):

Retinal Detachment ◽

Immunosuppressive Therapy ◽

Silicone Oil ◽

Final Diagnosis ◽

Temporal Muscle ◽

Necrotizing Scleritis ◽

Temporal Fascia ◽

First Case ◽

Muscle Fascia ◽

Superficial Muscle

Abstract Background To report the case of a surgical-induced necrotizing sclertitis (SINS) following vitreoretinal retinal surgery for rhegmatogenous retinal detachment, successfully managed by superficial muscle temporal fascia grafting. Case presentation An 18-year-old teenage, with a history of a twenty-three gauges vitrectomy with silicone oil tamponade forrhegmatogenous retinal detachment of the left eye presented two months after surgery with intense left ocular pain, decreased visual acuity to counting fingers and eye redness. Split lamp exam showed: conjunctival infiltration with silicone oil, circumferential sclera thinningpredominantly in the superonasal quadrant with ectasia of the underling uvea). The fundus examination showed an attached retina. Necrotizing scleritis was the retained diagnosis. Performed etiological assessment was negative.Surgical induced necrotizing scleritis was the final diagnosis. An immunosuppressive therapy based on general corticoids was started. With the immanent risk of globe perforation, superficial muscle temporal fascia grafting was performed to cover the necrotizing sclera.The patient did well postoperatively without sclera thinning or ectasia and the fascia grafting still intact without retraction after six months of follow up. Conclusion This is the first case in the literature thatused the superficial temporal muscle fascia as a graft for sclera reinforcement in SINS. Wepropose a new support to reinforce the deficient sclera.This graft must be associated with prompt immunosuppressive therapy at high doses.

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