Metallic intraocular foreign body retained for four years—An unusual presentation

Raina, Usha K; Kumar, Vinod; Kumar, Vikas; Sud, Rouli; Goel, Neha; Ghosh, Basudeb

doi:10.1016/j.clae.2010.01.005

Cited by 13 publications

(7 citation statements)

References 4 publications

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“…OGI is generally diagnosed by history and clinical examination alone. Diagnostic imaging should be conducted to assess the presence of an IOFB if suspected[ 2 28 37 53 54 55 ] and to evaluate the extent of globe damage. The main imaging modalities used are computerized tomography (CT) and B-scan ultrasonography (US); rarely, X-ray, and magnetic resonance imaging (MRI) are used.…”

Section: History and Examinationmentioning

confidence: 99%

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Pediatric open globe injury: A review of the literature

Zarbin

Bhagat

2015

J Emerg Trauma Shock

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Open globe injury (OGI) is a severe form of eye trauma estimated at 2-3.8/100,000 in the United States. Most pediatric cases occur at home and are the result of sharp object penetration. The aim of this article is to review the epidemiology, diagnosis, management, and prognosis of this condition by conducting a systematic literature search with inclusion of all case series on pediatric OGI published between 1996 and 2015. Diagnosis of OGI is based on patient history and clinical examination supplemented with imaging, especially computed tomography when indicated. Few prospective studies exist for the management of OGI in pediatric patients, but adult recommendations are often followed with success. The main goals of surgical management are to repair the open globe and remove intraocular foreign bodies. Systemic antibiotics are recommended as medical prophylaxis against globe infection, or endophthalmitis. Other complications are similar to those seen in adults, with the added focus of amblyopia therapy in children. Severe vision decline is most likely due to traumatic cataracts. The ocular trauma score, a system devised to predict final visual acuity (VA) in adults, has proven to be of prognostic value in pediatric OGI as well. Factors indicating poor visual prognosis are young age, poor initial VA, posterior eye involvement, long wound length, globe rupture, lens involvement, vitreous hemorrhage, retinal detachment, and endophthalmitis. A thorough understanding of OGI and the key differences in epidemiology, diagnosis, management, and prognosis between adults and children is critical to timely prevention of posttraumatic vision loss early in life.

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Section: History and Examinationmentioning

confidence: 99%

“…Metal IOFBs are typically the most toxic, so a high clinical suspicion for occult IOFB is needed in patients with a history of OGI and signs of IOFB toxicity as detailed below. [ 55 ] Definitive treatment for chronic IOFB toxicity is removal of the offending IOFB.…”

Section: Complicationsmentioning

confidence: 99%

Pediatric open globe injury: A review of the literature

Zarbin

Bhagat

2015

J Emerg Trauma Shock

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“…ing eye injury allows non-invasive imaging of IOFB in the projection of the ciliary body and identification of their localisation. [4].…”

Section: Conclusion the Technique Of Irtt In Patients With Penetrat-mentioning

confidence: 99%

“…Außerdem ist es schwierig, das Verhältnis des IFK zum Ziliarkörper zu bestimmen. Es sind Befunde bekannt, nach denen sich IFK aus Holz und Kunststoff nicht immer nachweisen lassen [4].…”

Section: Visualisierung Von Intraokularenunclassified

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Visualisierung von intraokularen Fremdkörpern im Ziliarkörperbereich mittels infraroter Transillumination (Pilotstudie)

Kogan

Zadorozhnyy

Korol

et al. 2020

Klin Monbl Augenheilkd

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Zusammenfassung Hintergrund Trotz der Verbesserung der Diagnosetechnologien bleibt die Detektion von intraokularen Fremdkörpern (IFK), die sich in der Projektion des Ziliarkörpers befinden, eines der aktuellen Probleme der Augentraumatologie. Ziel Untersuchung der möglichen Visualisierung intraokularer Fremdkörper (IFK) in der Projektion des Ziliarkörpers mithilfe der infrarоten transpalpebralen Transillumination (IRTT). Materialien und Methoden Analyse von 10 Personen (10 Augen) mit einer penetrierenden Augenwunde und nachgewiesenem IFK. In allen Fällen erfolgten Röntgendiagnostik, Ultraschalluntersuchung des Auges und IRTT. Ergebnisse Bei allen Patienten wurden Schatten von den Strukturen des Ziliarkörpers (Pars plana, Pars plicata) auf der Sklera mittels IRTT und Schatten von IFK visualisiert. Schlussfolgerung Die Technik der IRTT bei Patienten mit penetrierenden Augenverletzungen ermöglicht die nicht invasive Visualisierung von IFK in der Projektion des Ziliarkörpers und die Identifizierung ihrer Lokalisation.

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