Open globe injury and intraocular foreign body following crossbow-related penetrating ocular trauma
Purpose: To describe a case of a penetrating ocular trauma and plastic intraocular foreign body (IOFB), undetected on preoperative imaging. Observations: We present the findings of a 40-year-old male who sustained an open globe injury and IOFB composed of plastic following crossbow-related trauma. P...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993622001876 |
| _version_ | 1818208612632231936 |
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| author | Shawn Gulati Kurt A. Hanebrink Michael Henry Monique Munro R.V. Paul Chan Deepak P. Edward |
| author_facet | Shawn Gulati Kurt A. Hanebrink Michael Henry Monique Munro R.V. Paul Chan Deepak P. Edward |
| author_sort | Shawn Gulati |
| collection | DOAJ |
| description | Purpose: To describe a case of a penetrating ocular trauma and plastic intraocular foreign body (IOFB), undetected on preoperative imaging. Observations: We present the findings of a 40-year-old male who sustained an open globe injury and IOFB composed of plastic following crossbow-related trauma. Preoperative detection of the IOFB was unsuccessful on clinical exam, computed tomography (CT) and ultrasonography. During extraction of the traumatic cataract, an intralenticular IOFB was discovered and removed through an enlarged limbal incision. Postoperative review revealed that a fragmented plastic “nock”, from the crossbow arrow bolt, was the likely IOFB source. The bolt was produced by injection molding which may lead to trapped gas within the plastic, causing radiolucency on CT. Conclusions and importance: Radiolucent plastic warrants consideration on the differential diagnosis when intraocular gas is noted on computed tomography following penetrating ocular trauma. Multimodal imaging should be considered if IOFB is suspected and not detected by CT. |
| first_indexed | 2024-12-12T04:47:35Z |
| format | Article |
| id | doaj.art-462adfaad387476aa53f4c6b033495c4 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-12T04:47:35Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-462adfaad387476aa53f4c6b033495c42022-12-22T00:37:35ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-06-0126101441Open globe injury and intraocular foreign body following crossbow-related penetrating ocular traumaShawn Gulati0Kurt A. Hanebrink1Michael Henry2Monique Munro3R.V. Paul Chan4Deepak P. Edward5Illinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, USAIllinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, USAIllinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, USAIllinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, USAIllinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, USACorresponding author. 1855 W. Taylor St., Chicago, IL, 60612, USA.; Illinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, USAPurpose: To describe a case of a penetrating ocular trauma and plastic intraocular foreign body (IOFB), undetected on preoperative imaging. Observations: We present the findings of a 40-year-old male who sustained an open globe injury and IOFB composed of plastic following crossbow-related trauma. Preoperative detection of the IOFB was unsuccessful on clinical exam, computed tomography (CT) and ultrasonography. During extraction of the traumatic cataract, an intralenticular IOFB was discovered and removed through an enlarged limbal incision. Postoperative review revealed that a fragmented plastic “nock”, from the crossbow arrow bolt, was the likely IOFB source. The bolt was produced by injection molding which may lead to trapped gas within the plastic, causing radiolucency on CT. Conclusions and importance: Radiolucent plastic warrants consideration on the differential diagnosis when intraocular gas is noted on computed tomography following penetrating ocular trauma. Multimodal imaging should be considered if IOFB is suspected and not detected by CT.http://www.sciencedirect.com/science/article/pii/S2451993622001876Ocular traumaCrossbowBowArrowIntraocular foreign body |
| spellingShingle | Shawn Gulati Kurt A. Hanebrink Michael Henry Monique Munro R.V. Paul Chan Deepak P. Edward Open globe injury and intraocular foreign body following crossbow-related penetrating ocular trauma American Journal of Ophthalmology Case Reports Ocular trauma Crossbow Bow Arrow Intraocular foreign body |
| title | Open globe injury and intraocular foreign body following crossbow-related penetrating ocular trauma |
| title_full | Open globe injury and intraocular foreign body following crossbow-related penetrating ocular trauma |
| title_fullStr | Open globe injury and intraocular foreign body following crossbow-related penetrating ocular trauma |
| title_full_unstemmed | Open globe injury and intraocular foreign body following crossbow-related penetrating ocular trauma |
| title_short | Open globe injury and intraocular foreign body following crossbow-related penetrating ocular trauma |
| title_sort | open globe injury and intraocular foreign body following crossbow related penetrating ocular trauma |
| topic | Ocular trauma Crossbow Bow Arrow Intraocular foreign body |
| url | http://www.sciencedirect.com/science/article/pii/S2451993622001876 |
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