Background: Penetrating intraorbital foreign body (IOFB) is usually associated with highvelocity trauma forces around the eye. IOFB injury to globe or optic nerve is considered a surgical emergency; an immediate diagnosis and management plan is generally indicated. Methods: A case report (design). The patient was a 78-year-old male presented with diminution of vision of the right eye following a high-velocity injury. The patient was noted to have a closed globe injury with associated retinal detachment and vitreous hemorrhage. An initial orbital CT scan did not reveal any IOFB, despite and intact globe. However, repeat a CT head and orbit scan revealed an intracranial magnetic foreign body lodged in the right frontal lobe. Conclusion: A CT scan of the brain and paranasal sinuses should be obtained along with a CT orbit in case of high-velocity orbital/ocular trauma.
Objective: To describe a case of central retinal artery occlusion (CRAO) after nasosinal surgery and subject's subsequent response to hyperbaric oxygen therapy (HBOT). Design: Observational case report. Results: We describe a subject with diagnosed CRAO after septoplasty, bilateral inferior turbinate reduction and balloon sinuplasty, who was given hyperbaric oxygen treatment after four days of onset of CRAO with an improvement in visual acuity and visual field. Conclusion: Even though CRAO has been rarely reported after ENT procedures and HBOT has been previously described for the treatment, this is the case report where hyperbaric oxygen was given after four days of onset, with a possible improvement.
MUSCLE weakening operations are standard procedures in strabismus surgery. Except in tenotomy, sutures are required to be passed into the sclera, when there is a risk of choroidal perforation. A new and safer procedure for weakening a rectus muscle by lengthening it is described below. Surgical Method applied to the Lateral Rectus MuscleThe lids are separated by an eye speculum and the eye is turned in by a 3-0 black silk suture passed through the episclera on the temporal aspect of the cornea. A conjunctival incision about 15 mm. long is made 3 to 4 mm. behind the insertion of the muscle with slight concavity directed towards the cornea. The lateral rectus is defined, lifted over two strabismus hooks, and cleaned. Two longitudinal incisions are then made in the tendon with a bent iris repositor so that three strips are formed of approximately the same width (Fig. 1). The incisions should be about 2 5 mm. longer than the actual lengthening required in the particular case. § A suture is then passed through the distal end of the centre strip, which is severed close to its point of insertion on the globe (Fig. 2), the free end being held in the special muscle clamp (described below) at right-angles to the blades.The proximal ends of the outer strips are then cut with the tenotomy scissors (Fig. 2). The central strip is retracted, and the ends of the three strips are held in the muscle clamp in a Y-shaped formation (Fig. 3). The three strips can then be sutured together by passing an 8 mm. corneo-scleral needle, threaded with 6-0 silk or catgut, down through the open slots in the blades of the clamp and up again (Fig. 3, opposite). The lengthening thus obtained is shown in Fig. 4 (opposite).The conjunctival incision is closed in the usual way with a continuous suture.
We describe a technique for pediatric traumatic cataract management in cases in which part of the anterior capsule has been ruptured. The technique requires creating a 2-incision push–pull capsulorhexis in the intact anterior capsule. The capsulorhexis is made in a manner that converts the edge of the ruptured anterior capsule into a band of capsule that holds the intraocular lens (IOL) in the bag, reducing the incidence of early, intermediate, or late postoperative lens–iris capture. It also reduces the chances of IOL displacement.
Retinocytoma is a rare benign form of retinoblastoma. It is usually found on routine examinations and also while screening families of patients with retinoblastoma. Distinctive features are a translucent retinal mass with calcification, retinal pigment epithelial disturbance, chorioretinal atrophy and absence of growth. We report a case with all the above features along with diffuse vitreous seeds and optical coherence tomographic documentation of intralesional cavitary lesions.
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