Intraocular foreign body and traumatic cataract removal 65 years after penetrating trauma

2020 ◽  
pp. 112067212090202
Author(s):  
John XH Wong ◽  
Ehud I Assia
Keyword(s):  
Foreign Body ◽  
Traumatic Injury ◽  
Anterior Segment ◽  
Penetrating Trauma ◽  
Intraocular Foreign Body ◽  
Traumatic Cataract ◽  
Ethical Considerations ◽  
Occlusion Time ◽  
Reconstruction Surgery ◽  
Visual Potential

We report a case of successful intraocular foreign body/traumatic cataract removal and anterior segment reconstruction surgery of a patient’s eye that suffered penetrating injury 65 years earlier. Surgery was not recommended by ophthalmologists that she had earlier consulted. The patient opted for surgery to improve cosmesis due to leukocoria, but the level of regained vision exceeded expectations of both the patient and the surgeon. This case adds further evidence that the duration of occlusion time has no effect on visual potential in patients out of amblyogenic age. The ethical considerations of operating on such an eye with poor prognosis after traumatic injury are also discussed. To our knowledge, our patient has the longest reported duration (65 years) between the time of injury and successful surgery with good outcome.

scholarly journals Six-year epidemiological analysis of post traumatic endophthalmitis in a Brazilian hospital

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Luis Filipe Nakayama ◽  
Vinicius Campos Bergamo ◽  
Nilva Simeren Bueno de Moraes
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Penetrating Trauma ◽  
Onset Time ◽  
Intraocular Foreign Body ◽  
Time Interval ◽  
Light Perception ◽  
Initial Visual Acuity ◽  
Open Globe ◽  
Better Than

Abstract Background To evaluate the epidemiology of endophthalmitis cases related to ocular trauma, including visual acuity during and 1 year after trauma, source of trauma and method of treatment. Methods A retrospective study analyzed the epidemiological data of patients with a clinical presentation of endophthalmitis after ocular penetrating trauma between January 2012 and January 2017 at Escola Paulista de Medicina/UNIFESP, a hospital in São Paulo, SP, Brazil. Results A total of 453 patients with antecedent open globe trauma were evaluated, among these, 30 patients with suspected endophthalmitis. All patients were male. The time interval between trauma and ophthalmological evaluation and collection of vitreous and aqueous material was 1 day in 36.66%, 2–7 days in 43.44%, 7–14 days in 10% and more than 15 days in 10% of patients; 66.66% had positive cultures. 11 patients had intraocular foreign body. One year after trauma, visual acuity was classified as no light perception (NLP) in 33.33%, light perception in 6.66%, hand motion in 13.33%, counting fingers in 13.33%, and better than 20/400 in 20% of patients. Considering presence of intraocular foreign body, initial visual acuity and symptoms onset time, only initial visual acuity showed as better prognostic factor in final visual acuity. Conclusion Endophthalmitis is a severe ocular inflammatory condition that may lead to irreversible vision loss. Initially only one patient had visual acuity of NLP, but after 1 year, 33% showed visual acuity of NLP, and only 20% had visual acuity better than 20/400, what is consistent with a severe infection with a guarded prognosis. The high incidence of endophthalmitis after ocular penetrant trauma justifies distinct treatment and greater attention.

Usefulness of anterior segment optical coherence tomography in the demonstration of intralenticular foreign body in traumatic cataract

2010 ◽  
Vol 45 (4) ◽  
pp. 413-414 ◽  
Author(s):  
Padmamalini Mahendradas ◽  
Priya B. Vijayan ◽  
Kavitha Avadhani ◽  
Sathyam Garudadri ◽  
Bhujang K. Shetty
Keyword(s):  
Optical Coherence Tomography ◽  
Foreign Body ◽  
Anterior Segment ◽  
Optical Coherence ◽  
Traumatic Cataract

scholarly journals Pattern of Ocular and Adnexal Injuries Requiring Surgical Intervention among Children in a Tertiary Center in North-Central Nigeria: A 14 Year Review

2019 ◽  
Vol 2 (2) ◽  
pp. 138-143
Author(s):  
OP Odugbo ◽  
PD Wade ◽  
RO Ewuga ◽  
CD Mpyet
Keyword(s):  
Foreign Body ◽  
Surgical Intervention ◽  
Demographic Data ◽  
Intraocular Foreign Body ◽  
Traumatic Cataract ◽  
Ophthalmic Surgery ◽  
North Central ◽  
Care Services ◽  
Tertiary Center ◽  
Corneal Laceration

The study assessed the pattern of ocular and adnexal injuries that required surgical intervention among children with the aim of strengthening preventive, curative and promotive eye care services. The ophthalmic surgical database of the facility was retrospectively reviewed to obtain information on children who had surgical intervention due to trauma from 1st January 2004-31st December 2017; these included demographic data; diagnosis, procedure and the type of anaesthesia administered. Epi Info software, version 3.4 was used for analysis. A total of 361 children (aged <18years) underwent a surgical procedure as a result of ocular trauma within the stated period. There were more males 255(70.6%) than females 106(29.4%) with a male:female ratio of 2.4:1. The mean age was 7.7±3.5years, 356(98.6%) participants had general anaesthesia administered, 267(73.9%) were aged ≤10 years. The main indications for surgical intervention were corneal laceration 143(39.6%), traumatic cataract 99(27.4%), corneo-scleral laceration 34(9.4%), lid ± canalicular laceration 21 (5.8%), intraocular foreign body 16(4.4%), ruptured globe 14(3.9%) and limbal rupture 11(3.1%). A higher proportion of males had corneal laceration 104(40.8%, p=0.40), intraocular foreign body 13(5.1%, p=0.25) and ruptured globe 12(4.7%, p=0.17) while a higher proportion of females had traumatic cataract 35(33%, p=0.14), lid laceration 4(3.8%, p=0.76) and scleral laceration 2(2.8%, p=0.33). The observed differences were however not statistically significant. Of 21 participants who had lid injuries 14(66.7%) were aged ≤5years. Of 14 participants who had ruptured globe, 8(57.1%) were aged 11-17years. We observed that a male child is twice more likely to have an ophthalmic surgery due to trauma.

scholarly journals Big intraocular foreign body: Case report

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.

Anterior segment optical coherence tomography aided delineation of metallic intraocular foreign body

2021 ◽  
Vol 1 (2) ◽  
pp. 274
Author(s):  
SushankA Bhalerao ◽  
Sowjanya Vuyyuru ◽  
PratikY Gogri ◽  
Phanindhara Reddy ◽  
Rajavardhan Mallipudi
Keyword(s):  
Optical Coherence Tomography ◽  
Foreign Body ◽  
Anterior Segment ◽  
Intraocular Foreign Body ◽  
Optical Coherence

scholarly journals Occult intraocular foreign body presenting as squint

2016 ◽  
Vol 7 (2) ◽  
pp. 178-181
Author(s):  
Brijesh Takkar ◽  
Anubha Rathi ◽  
Shorya Azad
Keyword(s):  
Foreign Body ◽  
Epiretinal Membrane ◽  
Foreign Bodies ◽  
Ocular Trauma ◽  
Anterior Segment ◽  
Intraocular Foreign Body ◽  
Fundus Examination ◽  
Radio Imaging ◽  
Trauma Case ◽  
History Of

Background: We report a case of an occult retained intraocular foreign body detected four years after “forgotten” trauma. Case: A 23-year-old male presented with exodeviation and was referred as a case of epiretinal membrane. The anterior segment and adnexa were normal. Fundus examination revealed macular epiretinal membrane. An occult foreign body was localized in the retinal periphery. Imaging confirmed the diagnosis. Observation: Squint and epiretinal membrane may develop in cases of occult foreign bodies and may be the presenting sign years after trauma. Conclusion : A careful history of ocular trauma and thorough examination, complemented by radio imaging when needed, should be done in atypical cases. 

scholarly journals Pattern of Ocular and Adnexal Injuries Requiring Surgical Intervention among Children in a Tertiary Center in North-Central Nigeria: A 14 Year Review

2019 ◽  
Vol 2 (2) ◽  
pp. 138-143
Author(s):  
OP Odugbo ◽  
PD Wade ◽  
RO Ewuga ◽  
CD Mpyet
Keyword(s):  
Foreign Body ◽  
Surgical Intervention ◽  
Demographic Data ◽  
Intraocular Foreign Body ◽  
Traumatic Cataract ◽  
Ophthalmic Surgery ◽  
North Central ◽  
Care Services ◽  
Tertiary Center ◽  
Corneal Laceration

The study assessed the pattern of ocular and adnexal injuries that required surgical intervention among children with the aim of strengthening preventive, curative and promotive eye care services. The ophthalmic surgical database of the facility was retrospectively reviewed to obtain information on children who had surgical intervention due to trauma from 1st January 2004-31st December 2017; these included demographic data; diagnosis, procedure and the type of anaesthesia administered. Epi Info software, version 3.4 was used for analysis. A total of 361 children (aged <18years) underwent a surgical procedure as a result of ocular trauma within the stated period. There were more males 255(70.6%) than females 106(29.4%) with a male:female ratio of 2.4:1. The mean age was 7.7±3.5years, 356(98.6%) participants had general anaesthesia administered, 267(73.9%) were aged ≤10 years. The main indications for surgical intervention were corneal laceration 143(39.6%), traumatic cataract 99(27.4%), corneo-scleral laceration 34(9.4%), lid ± canalicular laceration 21 (5.8%), intraocular foreign body 16(4.4%), ruptured globe 14(3.9%) and limbal rupture 11(3.1%). A higher proportion of males had corneal laceration 104(40.8%, p=0.40), intraocular foreign body 13(5.1%, p=0.25) and ruptured globe 12(4.7%, p=0.17) while a higher proportion of females had traumatic cataract 35(33%, p=0.14), lid laceration 4(3.8%, p=0.76) and scleral laceration 2(2.8%, p=0.33). The observed differences were however not statistically significant. Of 21 participants who had lid injuries 14(66.7%) were aged ≤5years. Of 14 participants who had ruptured globe, 8(57.1%) were aged 11-17years. We observed that a male child is twice more likely to have an ophthalmic surgery due to trauma.

Sign in / Sign up

Export Citation Format

Share Document