Penetrating Ocular Injury Management in Intraocular Foreign Body (IOFB) and Traumatic Cataract
Highlight: • The management of penetrating ocular injury with IOFB and traumatic cataracts needs a thorough examination of the mechanism of injury, location, size, and composition of IOFB. • Endophthalmitis, retinal detachment, and development of PVR are potentially vision-threatment. Abst...
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| Format: | Article |
| Language: | English |
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Universitas Airlangga
2022-09-01
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| Series: | Folia Medica Indonesiana |
| Subjects: | |
| Online Access: | https://e-journal.unair.ac.id/FMI/article/view/12513 |
| _version_ | 1818033011834224640 |
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| author | Nerissa Tamara Putri Muhammad Firmansjah Reni Prastyani |
| author_facet | Nerissa Tamara Putri Muhammad Firmansjah Reni Prastyani |
| author_sort | Nerissa Tamara Putri |
| collection | DOAJ |
| description | Highlight:
• The management of penetrating ocular injury with IOFB and traumatic cataracts needs a thorough examination of the mechanism of injury, location, size, and composition of IOFB.
• Endophthalmitis, retinal detachment, and development of PVR are potentially vision-threatment.
Abstract:
Most IOFB are metallic and found in males of productive age as a consequence of work-related accidents. A 45-year-old man complained of sudden blurred vision in the left eye (3/60 pinhole 5/12) after getting hit by a foreign body when cutting grass with a lawn mower. Anterior segment examination revealed a 10 mm long, one-plane, straight, full thickness, already sutured inferonasal corneal laceration, inferonasal traumatic iridectomy size 3x7 mm, and opaque lens. Head CT-scan revealed opacity with metallic density intraocularly. Ultrasonography revealed an echogenic lesion, particle-shaped with 100% RCS complex density, located at the inferonasal of the vitreous cavity. Focal laser photocoagulation was performed preoperatively because there was a tear at the superonasal of the retina. The patient underwent cataract extraction, intraocular lens implantation, vitrectomy, and IOFB extraction in a one-step procedure. IOFB was found at the inferonasal side of a vitreous cavity with size 3 x 1 mm, metallic, and not attached to the retina. Silicon oil tamponade was used as a precaution because there were retinal tears. Postoperatively, the left eye's visualacuity was 5/20. After 6 months, the silicon oil was evacuated and the visual acuity became 5/8.5. |
| first_indexed | 2024-12-10T06:16:29Z |
| format | Article |
| id | doaj.art-ce20dce8421b41239d69b3315878c2f6 |
| institution | Directory Open Access Journal |
| issn | 2355-8393 2599-056X |
| language | English |
| last_indexed | 2024-12-10T06:16:29Z |
| publishDate | 2022-09-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Folia Medica Indonesiana |
| spelling | doaj.art-ce20dce8421b41239d69b3315878c2f62022-12-22T01:59:26ZengUniversitas AirlanggaFolia Medica Indonesiana2355-83932599-056X2022-09-0158326727210.20473/fmi.v58i3.1251310109Penetrating Ocular Injury Management in Intraocular Foreign Body (IOFB) and Traumatic CataractNerissa Tamara Putri0Muhammad Firmansjah1Reni Prastyani2https://orcid.org/0000-0002-8507-1689Department of Ophthalmology, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaHighlight: • The management of penetrating ocular injury with IOFB and traumatic cataracts needs a thorough examination of the mechanism of injury, location, size, and composition of IOFB. • Endophthalmitis, retinal detachment, and development of PVR are potentially vision-threatment. Abstract: Most IOFB are metallic and found in males of productive age as a consequence of work-related accidents. A 45-year-old man complained of sudden blurred vision in the left eye (3/60 pinhole 5/12) after getting hit by a foreign body when cutting grass with a lawn mower. Anterior segment examination revealed a 10 mm long, one-plane, straight, full thickness, already sutured inferonasal corneal laceration, inferonasal traumatic iridectomy size 3x7 mm, and opaque lens. Head CT-scan revealed opacity with metallic density intraocularly. Ultrasonography revealed an echogenic lesion, particle-shaped with 100% RCS complex density, located at the inferonasal of the vitreous cavity. Focal laser photocoagulation was performed preoperatively because there was a tear at the superonasal of the retina. The patient underwent cataract extraction, intraocular lens implantation, vitrectomy, and IOFB extraction in a one-step procedure. IOFB was found at the inferonasal side of a vitreous cavity with size 3 x 1 mm, metallic, and not attached to the retina. Silicon oil tamponade was used as a precaution because there were retinal tears. Postoperatively, the left eye's visualacuity was 5/20. After 6 months, the silicon oil was evacuated and the visual acuity became 5/8.5.https://e-journal.unair.ac.id/FMI/article/view/12513penetrating ocular injuryintraocular foreign bodyiofbtraumatic cataractvitrectomyiofb extraction |
| spellingShingle | Nerissa Tamara Putri Muhammad Firmansjah Reni Prastyani Penetrating Ocular Injury Management in Intraocular Foreign Body (IOFB) and Traumatic Cataract Folia Medica Indonesiana penetrating ocular injury intraocular foreign body iofb traumatic cataract vitrectomy iofb extraction |
| title | Penetrating Ocular Injury Management in Intraocular Foreign Body (IOFB) and Traumatic Cataract |
| title_full | Penetrating Ocular Injury Management in Intraocular Foreign Body (IOFB) and Traumatic Cataract |
| title_fullStr | Penetrating Ocular Injury Management in Intraocular Foreign Body (IOFB) and Traumatic Cataract |
| title_full_unstemmed | Penetrating Ocular Injury Management in Intraocular Foreign Body (IOFB) and Traumatic Cataract |
| title_short | Penetrating Ocular Injury Management in Intraocular Foreign Body (IOFB) and Traumatic Cataract |
| title_sort | penetrating ocular injury management in intraocular foreign body iofb and traumatic cataract |
| topic | penetrating ocular injury intraocular foreign body iofb traumatic cataract vitrectomy iofb extraction |
| url | https://e-journal.unair.ac.id/FMI/article/view/12513 |
| work_keys_str_mv | AT nerissatamaraputri penetratingocularinjurymanagementinintraocularforeignbodyiofbandtraumaticcataract AT muhammadfirmansjah penetratingocularinjurymanagementinintraocularforeignbodyiofbandtraumaticcataract AT reniprastyani penetratingocularinjurymanagementinintraocularforeignbodyiofbandtraumaticcataract |