scholarly journals Results of foreign bodies removal from the posterior eyeball segment by transvitreal approach

2016 ◽  
Vol 9 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Mariya V Kataeva ◽  
Vadim P Nikolaenko
Keyword(s):  
Foreign Body ◽  
Retinal Detachment ◽  
Foreign Bodies ◽  
Posterior Vitreous Detachment ◽  
Traumatic Cataract ◽  
Fluid Exchange ◽  
Eye Trauma ◽  
Post Operative Period ◽  
Pars Plana ◽  
Injured Patients

Purpose. To investigate transvitreal intraocular foreign body (IOFB) removal results, and to determine indications for this splinter removal approach. Materials and methods. A chart analysis of 35 cases with splinter eye trauma was carried out. In all patients, a pars plana vitreoretinal surgical procedure was performed to remove the IOFB. Results. The intraocular penetration of foreign body was accompanied by injuries of different eyeball structures, which presented as intravitreal hemorrhage, hyphema, subretinal bleeding, retinal detachment, traumatic cataract, iridocyclitis. Splitter removal was complemented by endolaser coagulation; scleroplastic component and gaz-fluid exchange. In 54.29% patients with trauma, a lensectomy had to be added to the vitrectomy with IOFB removal. As a result of treatment, visual acuity increased in 51.43% injured patients. In the late post-operative period, retinal detachment developed in 14.29% of cases. Conclusions. IOFB removal by transvitreal approach is recommended in intravitreal, pre- or intraretinal splitter position; in retro-equatorial foreign body localization; when intraoperative splitter visualization is possible; in posterior vitreous detachment formation.

scholarly journals Good visual rehabilitation in a patient without traumatic cataract surgery after removal of a ferrous intravitreal foreign body by external magnetic extraction through a pars plana incision: A case report

2019 ◽  
Author(s):  
Zhitao Su ◽  
Panpan Ye ◽  
Jijian Lin ◽  
Xiaodan Huang ◽  
Xiaoyun Fang
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Foreign Bodies ◽  
External Approach ◽  
Traumatic Cataract ◽  
Visual Axis ◽  
Visual Rehabilitation ◽  
Pars Plana ◽  
Magnetic Extraction

Abstract Background: There is an increasing trend toward performing pars plana vitrectomy and simultaneous cataract extraction in the management of patients with intraocular foreign bodies and traumatic cataracts. Herein, we describe a case of good visual rehabilitation in a patient without traumatic cataract surgery after removal of a ferrous intravitreal foreign body (IVFB) using an external approach. Case presentation: A 44-year-old man presented to our ophthalmology department because of decreased visual acuity after a penetrating trauma to the left eye 2 days earlier. Best-corrected visual acuity (BCVA) was 20/200. An examination revealed a midperipheral self-sealing corneal penetrating wound at the 5 o’clock position, in addition to a mild inflammatory reaction in the anterior chamber. Pupil dilation revealed peripheral anterior and posterior capsular violations, with subcapsular opacity involving the visual axis. A small metallic-like foreign body suspended in the vitreous was confirmed by B-scan ultrasonography and orbital computed tomography. This IVFB was successfully removed by external magnetic extraction through a pars plana incision. At the 2-week follow-up, the traumatic cataract was partially resolved, and BCVA improved to 20/125. At the 3-month follow-up, the traumatic cataract was mostly resolved, the visual axis was clear under a normal pupil, and BCVA improved to 20/20. Peripheral localized lens opacity was found after pupil dilation, and a fundus examination revealed no obvious abnormality. Conclusions: The size and location of an intraocular foreign body and the location and extent of lenticular involvement and associated injuries should be considered in patients with intraocular foreign bodies and traumatic cataracts. In selected patients with a small ferrous IVFB and a localized traumatic cataract, a good visual outcome may be achieved with minimal surgery. Keywords: Intravitreal foreign body, Traumatic cataract, External approach, Case report.

scholarly journals Good visual rehabilitation in a patient without traumatic cataract surgery after removal of a ferrous intravitreal foreign body by external magnetic extraction through a pars plana incision: A case report

2019 ◽  
Author(s):  
Zhitao Su ◽  
Panpan Ye ◽  
Jijian Lin ◽  
Xiaodan Huang ◽  
Xiaoyun Fang
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Foreign Bodies ◽  
External Approach ◽  
Traumatic Cataract ◽  
Visual Axis ◽  
Visual Rehabilitation ◽  
Pars Plana ◽  
Magnetic Extraction

Abstract Background: There is an increasing trend toward performing pars plana vitrectomy and simultaneous cataract extraction in the management of patients with intraocular foreign bodies and traumatic cataracts. Herein, we describe a case of good visual rehabilitation in a patient without traumatic cataract surgery after removal of a ferrous intravitreal foreign body (IVFB) using an external approach. Case presentation: A 44-year-old man presented to our ophthalmology department because of decreased visual acuity after a penetrating trauma to the left eye 2 days earlier. Best-corrected visual acuity (BCVA) was 20/200. An examination revealed a midperipheral self-sealing corneal penetrating wound at the 5 o’clock position, in addition to a mild inflammatory reaction in the anterior chamber. Pupil dilation revealed peripheral anterior and posterior capsular violations, with subcapsular opacity involving the visual axis. A small metallic-like foreign body suspended in the vitreous was confirmed by B-scan ultrasonography and orbital computed tomography. Retinal injury and vitreous hemorrhage were excluded by B-scan ultrasonography and binocular indirect ophthalmoscopy. This IVFB was successfully removed by external magnetic extraction through a pars plana incision. At the 2-week follow-up, the traumatic cataract was partially resolved, and BCVA improved to 20/125. At the 3-month follow-up, the traumatic cataract was mostly resolved, the visual axis was clear under a normal pupil, and BCVA improved to 20/20. Peripheral localized lens opacity was found after pupil dilation, and a fundus examination revealed no obvious abnormality. Conclusions: The size and location of an intraocular foreign body and the location and extent of lenticular involvement and associated injuries should be considered in patients with intraocular foreign bodies and traumatic cataracts. In selected patients with a small ferrous IVFB and a localized traumatic cataract, a good visual outcome may be achieved with minimal surgery. Keywords: Intravitreal foreign body, Traumatic cataract, External approach, Case report.

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.

scholarly journals Surgical Management of Traumatic Retinal Detachment with Primary Vitrectomy in Adult Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Katarzyna Nowomiejska ◽  
Tomasz Choragiewicz ◽  
Dorota Borowicz ◽  
Agnieszka Brzozowska ◽  
Joanna Moneta-Wielgos ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Silicone Oil ◽  
Vitreoretinal Surgery ◽  
Eye Injuries ◽  
Primary Vitrectomy ◽  
Eye Trauma ◽  
Open Globe ◽  
Pars Plana ◽  
23 Gauge

Purpose.To evaluate functional and anatomical results of pars plana vitrectomy (PPV) in the retinal detachment (RD) followed by severe eye trauma.Methods.Retrospective analysis of medical records of forty-one consecutive patients treated with 23-gauge PPV due to traumatic RD. Age, gender, timing of PPV, visual acuity, and presence of intraocular foreign body (IOFB) and proliferative vitreoretinopathy (PVR) were included in the analysis.Results.Mean age of patients was 47 years; the majority of patients were men (88%). Closed globe injury was present in 21 eyes and open globe injury in 20 eyes (IOFB in 13 eyes, penetration injury in 4 eyes, and eye rupture in 3 eyes). Mean follow-up period was 14 months; mean timing of PPV was 67 days. Twenty-seven (66%) eyes had a functional success; 32 eyes (78%) had anatomical success. As a tamponade silicone oil was used in 33 cases and SF6 gas in 8 cases.Conclusions.Severe eye injuries are potentially devastating for vision, but vitreoretinal surgery can improve anatomical and functional outcomes. Among analysed pre- and intra- and postoperative factors, absence of PVR, postoperative retinal attachment, and silicone oil as a tamponade were related to significantly improved visual acuity.

scholarly journals Rectal Foreign Body in a 30 Year Old Male- A Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 35-37
Author(s):  
Md Monoarul Islam Talukdar ◽  
Quamrul Akter ◽  
Md Abdullah Al Mamun ◽  
Abdullah Md Abu Ayub Ansary
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Young Male ◽  
College Hospital ◽  
Rectal Pain ◽  
Medical College ◽  
Post Operative Period ◽  
Abdominal Radiographs ◽  
Early Decision ◽  
Surgery Department

Though anorectal foreign body cases are rare, they have become increasingly frequent in recent years. Although entrapped foreign bodies are most often related to sexual behavior, they can also result from ingestion or sexual assault. The diagnosis may be made by rectal examination and metallic objects can be confirmed by plain abdominal radiographs. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodies usually require an operative intervention. An early decision of laparotomy should only be made after subjecting the patient to suitable investigations to determine exact location of the object, in order to avoid any inadvertent damage to the adjoining vasculature as well as anal incontinence. . We report the case of a young male who presented at surgery department of Shaheed Suhrawardy medical college hospital with severe rectal pain due to insertion of an apple into rectum by some eunuchs. It was successfully removed transanally under spinal anesthesia. Post operative period was uneventful and referred for psychiatric consultation.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 35-37

scholarly journals Use of Scheimpflug imaging in the management of intra-lenticular foreign body

2015 ◽  
Vol 7 (1) ◽  
pp. 82-84 ◽  
Author(s):  
R Singh ◽  
J Ram ◽  
R Gupta
Keyword(s):  
Foreign Body ◽  
Intraocular Lens ◽  
Foreign Bodies ◽  
Case Reports ◽  
Slit Lamp ◽  
Traumatic Cataract ◽  
X Ray ◽  
Scheimpflug Imaging ◽  
History Of ◽  
Post Traumatic

Introduction: Asymptomatic traumatic intra-lenticular foreign body is very uncommon and few case reports have been published.Objective: To report a case of post-traumatic intra-lenticular foreign body and use of Scheimpflug imaging in its management. Case: A 41-year-old male with history of injury to right eye during hammering a chisel 1 year back presented with decreased vision since 6 months. An intra-lenticular foreign body was found on slit lamp bio-microscopy and was confrmed by Scheimpflug imaging. Posterior capsule was intact on Scheimpflug imaging. Thus, Scheimpflug imaging helps in exact localization of the foreign body in the intralenticular space or behind the iris. We ruled out other foreign bodies by x-ray and ultrasonography of the orbit. The foreign body with post-traumatic cataract was removed using phacoemulsification and three piece foldable intraocular lens was implanted in the bag. Conclusion: An intra- lenticular foreign body may remain asymptomatic for months. Scheimpflug imaging can be useful in its localization. It can be removed during phacoemulsification.

scholarly journals Posterior segment intraocular foreign body with secondary retinal detachment in a phakic eye: a case report

2020 ◽  
Vol 8 (5) ◽  
pp. 375-378
Author(s):  
Dr. Amit C Porwal ◽  
◽  
Dr. Hardik Jain ◽  
Dr. Pratik Mahajan ◽  
◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Retinal Detachment ◽  
Visual Loss ◽  
Foreign Bodies ◽  
Vitreoretinal Surgery ◽  
Crystalline Lens ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
Current Case

Intraocular foreign bodies (IOFBs) are an important cause of visual loss. The current case describesa case of retained intraocular foreign body with secondary retinal detachment in a phakic eye in a38-year-old man. The foreign body was safely removed through the sclerotomy port withouttouching the crystalline lens. The current case report wanted to show the anatomic and visualoutcomes of vitreoretinal surgery in such cases.

scholarly journals Ingestion of Bell Clappers by a Shaman in Jumla, Nepal: A Case Report

2019 ◽  
Vol 57 (215) ◽  
Author(s):  
Niresh Thapa ◽  
Subi Basnyat ◽  
Muna Maharjan
Keyword(s):  
Foreign Body ◽  
Psychiatric Illness ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Interesting Case ◽  
Foreign Body Ingestion ◽  
Ileocecal Junction ◽  
Post Operative Period ◽  
History Of ◽  
Significant Injury

Accidental foreign body ingestion is a common problem encountered in Emergency. Deliberate foreign body ingestion may result due to an act of insanity or an act of daring. A shaman locally known as Dhami was brought to Emergency with the history of ingestion of bell clappers. He denied the history of psychiatric illness or substance abuse. On physical examination, there were signs of peritonitis. Laparotomy was done to remove the foreign bodies. Post-operative period was uneventful. Apart from the surgical intervention, psychological counselling was given to him. This is a rare interesting case due to the fact that the 15 cm long foreign bodies passing all the way through without significant injury and finally causing obstruction in ileocecal junction and perforation in the distal ileum.

scholarly journals Big intraocular foreign body: Case report

2013 ◽  
Vol 141 (7-8) ◽  
pp. 516-518
Author(s):  
Aleksandar Gakovic ◽  
Igor Kovacevic ◽  
Jovana Bisevac ◽  
Bojana Radovic ◽  
Katarina Cubrilo ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Foreign Body ◽  
Retinal Detachment ◽  
Detailed Examination ◽  
Posterior Segment ◽  
Intraocular Foreign Body ◽  
Traumatic Cataract ◽  
Normal Limits ◽  
The Right ◽  
Fitting In

Introduction. Penetrated injuries are most difficult injuries of the eye. Intraocular foreign body (IOFB) may lodge in any of the structures it encounters, from anterior chamber to the retina and choroid. Notable effects caused by foreign body injury include traumatic cataract, vitreous liquefaction, retinal and subretinal hemorrhages, retinal detachment and development of endophtalmitis. Case Outline. A 49?year?old man sustained injury of the right eye with a piece of metal wire. On admission visual acuity was VOD: 1.0 and lower intraocular tension TOD=6 mmHg (10?22 mmHg). Corneal entry wound was noticed near limb on 11h with a prominating foreign body of 18 mm in length that passed through the iris, lens and vitreous. X?ray findings confirmed existence of a large foreign body extending along the entire length of the globe. IOFB removal was done with anatomic forceps. On postoperative detailed clinical examination we observed retinal rupture in the upper temporal quadrant fitting in the area of the IOFB damaged retina. Laser photocoagulation of retinal tear (laser retinal barrage) was done. Visual acuity on discharge was the same (1.0) and intraocular tension was within normal limits (10 mmHg). Conclusion. Penetrated injury of eye requires detailed examination of all eye structures, beginning from the anterior to posterior segment. Timely diagnosed ruptures of the posterior segment of eye before the development of traumatic cataract, and adequate therapeutic procedures prevent serious complications of IOFB penetrated eye injury such as retinal detachment and permanent reduction of visual acuity.

Sign in / Sign up

Export Citation Format

Share Document