Chorioretinitis sclopetaria caused by an intraorbital metallic foreign body

Romero-Trevejo, J.L.; Parshotam, N. Rachwani; Morillo-Sánchez, María Josefa

doi:10.5935/0004-2749.20180049

Cited by 1 publication

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“…Rarely, sclopetaria can occur due to the thermal effects of high-velocity metallic foreign bodies. 19 We also found features of sclopetaria in the fundus of one female with long bullet shrapnel (Figure 2). Besides, the organic or wooden IOrbFBs are common in our country and have a worse anatomical and functional prognosis.…”

Section: Discussionmentioning

confidence: 67%

Long-term ophthalmic anatomical and functional outcomes after surgical removal of intraorbital foreign bodies

Mehta

Singh

Yadav

et al. 2019

European Journal of Ophthalmology

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Purpose: To analyze the anatomical and functional ophthalmic parameters after the surgical removal of various intraorbital foreign bodies. Methods: A retrospective analysis of medical records was performed featuring detailed history, ophthalmic examination, orbital computed tomographic scans, treatment details, and outcomes. The analyzed anatomical factors included extraocular movements, the position of the eyeball (proptosis, dystopia, and enophthalmos), and fullness of orbital sulci. The functional assessment was based on visual acuity, pupillary reactions, and diplopia. The outcomes were defined as complete, partial, and failure after a minimum follow-up of 1 year. Results: Of 32 patients, the organic and inorganic intraorbital foreign bodies were surgically removed from 18 (56.25%) and 14 (43.75%) orbits, respectively. At presentation, anatomically the extraocular movement restriction, proptosis/dystopia/enophthalmos, and orbital sulcus fullness were noted in 26 (81.25%), 24 (75%), and 15 (46.88%), respectively. Functionally, diminished visual acuity, diplopia, and pupil abnormalities were seen in 27 (84.38%), 14 (43.75%), and 8 (25%), respectively. After intraorbital foreign body removal at a mean follow-up of 14 months, the improvement of anatomical factors (same sequence) were observed in 8 (30.77%), 20 (83.33%), and 12 (80%), respectively. In functional factors (same sequence), the improvement was noted in none (0%), 13 (92.86%), and 5 (62.5%), respectively. Hence, the majority of patients (n = 20, 62.5%) achieved partial success, while 8 (25%) had complete success. Four (12.5%) had treatment failure despite similar management protocols. Conclusion: The anatomical outcomes are better than the functional outcomes after surgical removal of the intraorbital foreign bodies. The visual acuity does not improve considerably after the surgical removal of intraorbital foreign bodies. Overall, the wooden intraorbital foreign bodies have poorer anatomical and functional prognosis.

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Section: Discussionmentioning

confidence: 67%