An unusual case of penetrating ocular trauma with metallic spoon

Bhaduri, Gautam; Chattopadhyay, Soumya Swarup; Ghosh, Rudra Prasad; Saurabh, Kumar; Goyal, Megha

doi:10.4103/0301-4738.64128

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…3 Management strategies depend on the type, size of the FB, site of penetration, and hemostasis. [4][5][6][7] Ocular imaging of radiolucent FBs remains difficult: plain films detect only metallic FBs 8 and magnetic resonance imaging poses risk associated with unrecognized metal. 9 Inert FBs carry a lower risk of infection than organic FBs such as wood, 4 but still warrant broad-spectrum antibiotics to prevent infections.…”

Section: Discussionmentioning

confidence: 99%

Removal of an Impaled Intraocular Hair Comb Following Self-inflicted Trauma

Markovitz

Hamburger

Fromm

et al. 2020

Clinical Practice and Cases in Emergency Medicine

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Ocular trauma is one of the most common and vision-threatening ophthalmic presentations with a wide spectrum of complications, such as bleeding, infection, vision loss, and enucleation. A 64-year-old-male presented to the emergency department (ED) with a self-inflicted orbital penetrating injury with a hair comb. Computed tomography showed the comb traversed the medial orbit inferior to the medial rectus but did not damage the optic nerve; there were no globe or orbital wall fractures. His ocular exam was significant for a right eye afferent pupillary defect and decreased visual acuity 20/800, consistent with optic neuropathy. Primary concerns were stabilizing and removing the foreign body without causing further damage in the setting of an uncooperative patient. The comb was removed with the aid of local and systemic analgesia using gentle traction and normal saline irrigation. The patient was admitted for systemic and topical antibiotics and showed improvement in visual acuity and resolution of his optic neuropathy. This case illustrates the importance of rapid ED assessment and management of complex penetrating ocular trauma. Examination should specifically look for signs of globe rupture and optic nerve injury. Expedited foreign body removal should be managed together with an ophthalmologist with procedural sedation and broad-spectrum antibiotics to avoid further visual and infectious complications.

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Section: Discussionmentioning

confidence: 99%

Removal of an Impaled Intraocular Hair Comb Following Self-inflicted Trauma

Markovitz

Hamburger

Fromm

et al. 2020

Clinical Practice and Cases in Emergency Medicine

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“…[3] Göz travmaları ise acil servislere göz acilleri içinde en sık başvuru nedenlerindendir. [4] Amerika Birleşik Devletlerinde yıllık göz hastalıkları acil departmanı başvuruları 2,5 milyonu bulmaktadır. [5,6] Dünya çapında oküler travma nedeniyle görme kaybı yaşayan yaklaşık 20 milyon kişi olduğu tahmin edilmektedir.…”

Section: Introductionunclassified

Traumas Affecting the Posterior Segment in Geriatric Cases

2022

Güncel Retina (Current Retina)

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Physical capacity decreasing by age can make the geriatric population more susceptible to trauma. Some of these trauma cases are ocular and can cause serious morbidity and mortality. In routine ophthalmology practice, severe vision loss may develop after blunt or penetrating trauma. Posterior segment involvement after ocular trauma in geriatric patients is directly related to the type and severity of the trauma. It is important to try to prevent ocular trauma risk that can occur in geriatric cases, taking into account the increase in the elderly population day by day in the world and the specific physiological conditions of the geriatric age. Correct management of ocular trauma that may occur in the geriatric population is very important in terms of protecting eye health and improving visual prognosis.

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A Typical Penetrating Ocular Trauma – Case Report

Guerra¹,

Silva²

2015

J Gen Pract

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An unusual case of penetrating ocular trauma with metallic spoon

Cited by 3 publications

References 7 publications

Removal of an Impaled Intraocular Hair Comb Following Self-inflicted Trauma

Removal of an Impaled Intraocular Hair Comb Following Self-inflicted Trauma

Traumas Affecting the Posterior Segment in Geriatric Cases

A Typical Penetrating Ocular Trauma – Case Report

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