Srpski arhiv za celokupno lekarstvo 2013 Volume 141, Issue 7-8, Pages: 516-518
https://doi.org/10.2298/SARH1308516G
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Big intraocular foreign body: Case report
Gaković Aleksandar (Klinički centar Srbije, Klinika za očne bolesti, Beograd)
Kovačević Igor (Klinički centar Srbije, Klinika za očne bolesti, Beograd)
Biševac Jovana (Klinički centar Srbije, Klinika za očne bolesti, Beograd)
Radović Bojana (Klinički centar Srbije, Klinika za očne bolesti, Beograd)
Čubrilo Katarina (Klinički centar Srbije, Klinika za očne bolesti, Beograd)
Stefanović Ivan (Klinički centar Srbije, Klinika za očne bolesti, Beograd)
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 49yearold 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 (1022 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.
Xray 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.
Keywords: intraocular foreign body, retinal rupture, laser retinal barrage