scholarly journals Combined Penetrating Keratoplasty Followed by Pars Plana Vitrectomy for Firecracker Induced Bilateral Corneal and Intraocular Foreign Body: A Case Report

2020 ◽  
Vol 58 (226) ◽  
Author(s):  
Lily Rajbanshi ◽  
Archana Kumari ◽  
Sanjay Singh
Keyword(s):  
Foreign Body ◽  
Pars Plana Vitrectomy ◽  
Penetrating Keratoplasty ◽  
Hand Movement ◽  
Intraocular Foreign Body ◽  
Corrected Visual Acuity ◽  
Open Globe ◽  
Pars Plana ◽  
The Right ◽  
Open Globe Injuries

Firecracker induced open globe injury is a big challenge for ophthalmic surgeons. Its associationwith the intraocular foreign body makes the diagnosis and treatment even more difficult resultingin poor anatomical and visual outcomes. We report a case of a 35-year-old male who presented withbilateral, multiple corneal and intraocular foreign body due to firecracker explosion. His vision waslimited to hand movement in both eyes. Combined penetrating keratoplasty and cataract surgerywere done in both eyes followed by pars plana vitrectomy for intraocular foreign body removal.The final best-corrected visual acuity of the patient stood to be 6/6 and 6/9 in the right and left eyerespectively. The encouraging result in our case prompts ophthalmologists for a timely stepwisemultidisciplinary approach in all open globe injuries with intraocular foreign body cases havingpoor initial acuity.

scholarly journals Perfluorocarbon liquid-assisted intraocular foreign body removal

2021 ◽  
Vol 3 (2) ◽  
pp. 120-126
Author(s):  
Hui Wen Lim ◽  
Suyi Siow ◽  
Kiet Phang Ling
Keyword(s):  
Foreign Body ◽  
Pars Plana Vitrectomy ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Surgical Techniques ◽  
Intraocular Foreign Body ◽  
Ocular Injury ◽  
Perfluorocarbon Liquid ◽  
Open Globe ◽  
Pars Plana

Traumatic ocular injury is an uncommon yet leading cause of monocular blindness among the working-age group. Retained intraocular foreign body (IOFB) are associated with 41% of open globe injuries. Pars plana vitrectomy is often required for posterior segment IOFB removal. Advances in vitreoretinal surgical techniques and instrumentation have resulted in better treatment outcomes with reduced ocular morbidity. We report a case of modified ILM forceps with perfluorocarbon liquid-assisted non-magnetic IOFB removal in a young man after a motor vehicle accident with zone one open globe injury and a large glass IOFB in the right eye. We describe the use of perfluoro-N-octane to slide the IOFB extramacularly and reorient the IOFB plane for stable and safe retrieval by ILM end-gripping forceps. The modified design of the ILM end-gripping forceps with adjunctive use of perfluorocarbon liquid in pars plana vitrectomy reduces slippage during IOFB extraction and prevents collateral iatrogenic retinal injury.

Low-cut, low-vacuum vitrectomy for releasing an embedded intraocular foreign body

Trauma ◽  
2020 ◽  
pp. 146040862093576
Author(s):  
SK Aruna ◽  
Pratyusha Ganne ◽  
Prabu Baskaran
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Retinal Detachment ◽  
Intraocular Foreign Body ◽  
Corrected Visual Acuity ◽  
Open Globe ◽  
Pars Plana ◽  
Oil Injection ◽  
Probe Set ◽  
Best Corrected Visual Acuity

Background Removal of an embedded intraocular foreign body remains challenging due to the risks of bleeding and retinal damage. We present a novel technique to deal with this situation. Case report A 32-year man presented with two months of decreased vision in one eye (best corrected visual acuity of 20/200), a year after a workplace injury that necessitated surgery for an open globe injury. Examination revealed the sequalae of his previous surgery, a subtotal retinal detachment and an embedded intraocular foreign body close to inferior ora serrata at the 6 'o clock position confirmed by imaging. The other eye was normal. A pars plana vitrectomy was performed and the embedded intraocular foreign body was released from surrounding dense adhesions using the vitrectomy probe set at 1000 cuts/minute and 100 mm Hg vacuum, followed by fluid air exchange and endolaser with silicon oil injection. The retinal detachment settled well post-operatively, and at the end of one month, the patient had best corrected visual acuity of 20/60. Conclusions The low-cut, low-vacuum vitrectomy technique can be considered as a safe option for releasing the embedded intraocular foreign body in complex ocular trauma scenarios.

scholarly journals Pars plana vitrectomy with extraction of intraocular foreign body in patients with siderosis of the eye: Report of two cases

2013 ◽  
Vol 141 (5-6) ◽  
pp. 371-374
Author(s):  
Igor Kovacevic ◽  
Ivan Stefanovic ◽  
Milos Jovanovic ◽  
Jelena Potic ◽  
Goran Damjanovic
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Pars Plana Vitrectomy ◽  
Intraocular Foreign Body ◽  
Penetrating Injuries ◽  
Entry Wound ◽  
Pars Plana ◽  
The Right ◽  
Metal Foreign Body

Introduction. Penetrating injury is characterized by the existence of entry wound only, and it can be with or without an intraocular foreign body (IOFB). IOFB can lead to a mechanical injury of the eye and to cause infection or to manifest other toxic effects on intraocular structures. Iron and copper can dissolve and cause siderosis, i.e. chalcosis of the eye. Ocular siderosis is diagnosed by clinical and electroretinogram (ERG) findings. Outline of Cases. The first patient was a 37?year?old male who was injured by a metal foreign body. He presented at the Clinic two years after the injury. Visual acuity of the right eye (VOD) on admission was VOD=L+P+ (light projection). Pars plana phacovitrectomy with IOFB extraction was done. Visual acuity on discharge was VOD=3/60 cc + 7.50 Dsph=0.2. The second patient was a 55?year?old male who presented at the clinic 18 months after injury. On admission visual acuity in his left eye was VOS 1/60. Pars plana phacovitrectomy with IOFB extraction was done. Visual acuity on discharge was VOS=0.7 through the stenopeic slit. Conclusion. In penetrating injuries caused by a metal IOFB pars plana vitrectomy with IOFB extraction is indicated. In cases with IOFB, when visual acuity is preserved, the lens is transparent, while the eye is without signs of infection, urgent pars plana vitrectomy is not necessary. Such patients need regular follow?up with obligatory ERG findings.

Transscleral Extraction of an Intraocular Foreign Body From the Posterior Segment of the Eye Without Pars Plana Vitrectomy

2020 ◽  
Vol 76 (1) ◽  
pp. 14-23
Author(s):  
Štěpán Rusňák ◽  
Lenka Hecová
Keyword(s):  
Foreign Body ◽  
Pars Plana Vitrectomy ◽  
Young Patients ◽  
Vitreous Body ◽  
Visual Control ◽  
Intraocular Foreign Body ◽  
Survey Study ◽  
Surgical Method ◽  
Eye Trauma ◽  
Pars Plana

Purpose: Penetrating eye trauma with an intraocular foreign body is very frequent, especially in men in their productive age. Pars plana vitrectomy would be the standard surgical method at our department. However, in indicated cases (metallic intraocular bodies in the posterior eye segment in young patients with well transparent ocular media without detached ZSM and without any evident vitreoretinal traction) transscleral extraction of the intraocular foreign body is performed using the exo magnet, eventually endo magnet with a minimal PPV without PVD induction under the visual control of endo-illumination. Materials and Methods: Between June 2003 and June 2018, 66 eyes of 66 patients diagnosed with a penetrating eye trauma caused by an intraocular foreign body located in the posterior eye segment were treated. In 18 eyes (27,3 %) with a metallic foreign body in vitreous (body) or in retina, no PPV or a minimal PPV without PVD was used as a surgical method. In the remaining 48 eyes (72,7 %), a standard 20G, respectively 23G PPV method were used together with PVD induction and the foreign body extraction via endo or exo magnet. Conclusions: As demonstrated by our survey/study, in the cases of a thoroughly considered indication an experimented vitreoretinal surgeon can perform a safe NCT transscleral extraction from the posterior eye segment via exo magnet, eventually endo magnet under the visual control of a contact display system with a minimal PPV. Thereby, the surgeon can enhance the patient´s chance to preserve their own lens and its accommodative abilities as well as reduce the risk of further surgical interventions of the afflicted eye.

Pars plana vitrectomy timing in deadly weapon-related open-globe injuries

Eye ◽  
2020 ◽  
Author(s):  
Dorukcan Akincioglu ◽  
Murat Kucukevcilioglu ◽  
Ali Hakan Durukan
Keyword(s):  
Pars Plana Vitrectomy ◽  
Deadly Weapon ◽  
Open Globe ◽  
Pars Plana ◽  
Open Globe Injuries

The specifics of vitrectomy in cases open globe injuries with intraocular foreign body

2019 ◽  
pp. 37-40
Author(s):  
A.S. Golovin ◽  
◽  
O.A. Sinyavskiy ◽  
R.L. Troyanovsky ◽  
◽  
...  
Keyword(s):  
Foreign Body ◽  
Intraocular Foreign Body ◽  
Open Globe ◽  
Open Globe Injuries

scholarly journals Outcome and Prognostic Factors for Traumatic Endophthalmitis over a 5-Year Period

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Simona Delia Nicoară ◽  
Iulian Irimescu ◽  
Tudor Călinici ◽  
Cristina Cristian
Keyword(s):  
Prognostic Factors ◽  
Medical Records ◽  
Pars Plana Vitrectomy ◽  
Light Perception ◽  
Delayed Treatment ◽  
Ocular Lesions ◽  
Open Globe ◽  
Pars Plana ◽  
Inflammatory Drugs ◽  
Open Globe Injuries

Purpose. To evaluate the outcome and identify the prognostic factors of traumatic endophthalmitis over a 5-year period.Methods. We reviewed the medical records of all the traumatic endophthalmities that we treated in our department over the last 5 years (2009–2013). We extracted the following parameters: age, gender, wound anatomy, associated ocular lesions, treatment, and initial and final visual acuities. We used the program SPSS version 20.0.0. for the statistical analysis of our data.Results. During the last 5 years, we treated 14 traumatic endophthalmities, representing 46.66% of all types of endophthalmities. The infection rate in open globe injuries was 8.13% and 34.78%, if an intraocular foreign body (IOFB) was associated. All the patients were males with the median age of 37 years. Initial visual acuities varied between light perception and 0.4 and the timing of treatment from a few hours to 10 days. We administered antibiotic and anti-inflammatory drugs, systemically and intravitreally, in all cases. We performed pars plana vitrectomy in 64.28% of cases. In 57.14% of cases, the final visual acuity was 0.1 or more.Conclusions. IOFBs increased significantly the risk for endophthalmitis. The worse prognostic factors were retinal detachment at presentation and delayed treatment. This trial is registered withIRCT2014082918966N1.

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