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Surgical management of penetrating eye injury with intraocular foreign body: clinical case
First Author: M. Potrč SLOVENIA
Co Author(s): X. Lumi
We present a case of surgical management of penetrating eye injury with intraocular foreign body in a 53-year old male.
Eye Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia
Patient with known non-proliferative diabetic retinopathy presented with penetrating eye injury after having worked with metal hammer. He was not wearing any eye protection equipment. Visual acuity upon admission was 0.7 on Snellen charts. Full thickness corneal laceration 1mm long was observed naso-inferiorly in the peripheral part of the cornea. Iris laceration was at VII oﾒclock. Traumatic cataract was present in the lower nasal quadrant. Ophthalmoscopy revealed a metal foreign body in the vitreous body.
We performed cataract surgery with anterior and posterior capsulorhexis, followed by pars plana vitrectomy. Using microforceps we initially dislocated foreign body into anterior chamber and from there removed it from the eye through the main incision. Intraocular lens was implanted into capsular bag. Single corneal suture was placed on the corneal laceration. Intravitreal antibiotics were administered. No intraoperative complications were observed. Visual acuity at discharge from the hospital was 1.0 on Snellen charts.
Early intraocular foreign body removal in the management of an open globe injury decreases risk of endophthalmitis, rate of proliferative vitreoretinopathy, and improves final treatment outcome.
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