Management of double-penetrating ocular injury with retained intraorbital metallic foreign body
| Autor: | Shu-Ching Kao, Chang-Sue Yang, Shui-Mei Lee, Feng-Lih Lee, Kuo-Hsuan Hung |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Vitrectomy Fundus (eye) double-penetrating ocular injury Blurred vision Ophthalmology medicine Humans Medicine(all) orbital foreign body lcsh:R5-920 business.industry General Medicine Middle Aged medicine.disease Eye Injuries Penetrating eye diseases Surgery medicine.anatomical_structure Eye Foreign Bodies Metals Vitreous hemorrhage Subconjunctival hemorrhage sense organs electroretinography Foreign body medicine.symptom lcsh:Medicine (General) business Orbit Orbit (anatomy) |
| Zdroj: | Journal of the Chinese Medical Association, Vol 74, Iss 11, Pp 523-526 (2011) |
| ISSN: | 1726-4901 |
| DOI: | 10.1016/j.jcma.2011.09.010 |
| Popis: | The prognosis of double penetrating ocular trauma is usually guarded. We report the good anatomical and functional outcome in a patient with double-penetrating ocular trauma associated with intraorbital foreign body. A 58-year-old man presented at the emergency room complaining of blurred vision of the left eye with stinging pain after he hammered an iron plate. Best-corrected visual acuity was hand movement/30 cm. Subconjunctival hemorrhage with one 1.4-mm laceration wound was noted over the nasal conjunctiva. Fundus examination showed vitreous hemorrhage with one whitish patch over the nasal retina. Orbital computed tomography scan revealed one metallic foreign body at the posterior nasal upper orbit. Double-penetrating globe injury with intraorbital foreign body was impressed, and immediate vitrectomy surgery with endolaser photocoagulation was carried out. One exit wound nasal to the disc was noted during operation. The intraorbital metallic foreign body was left alone. Vision recovered to 6/8.6 without ocular complication after a 20-month follow-up. Prompt, careful preoperative evaluation and meticulous vitrectomy intervention are essential in the successful management of such patients. Posteriorly located intraorbital metallic foreign body should be managed conservatively. Long-term regular electroretinography evaluation is needed for possible retinal toxicity from intraorbital foreign body. |
| Databáze: | OpenAIRE |
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