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An intraocular foreign body detection using swept‐source OCT
Purpose To describe a case report of a 35 years old metal worker with a corneal ulcer in his right eye treated with an antibiotics ointment by a primary care doctor that presented blurry vision two days later. Methods Examination of the anterior chamber by slit lamp, tonometry was used to determine...
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Published in: | Acta ophthalmologica (Oxford, England) England), 2017-09, Vol.95 (S259), p.n/a |
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creator | Berniolles, J. Marco Monzon, S. Ascaso Puyuelo, A. Bartolomé Sesé, M.I. Martínez Vélez, M. Esteban Floria, O. Sánchez, J.I. Idoate Domench, A. López Sangrós, I. Ibáñez Alperte, J. |
description | Purpose
To describe a case report of a 35 years old metal worker with a corneal ulcer in his right eye treated with an antibiotics ointment by a primary care doctor that presented blurry vision two days later.
Methods
Examination of the anterior chamber by slit lamp, tonometry was used to determine intraocular pressure, funduscopy, Swept‐Source OCT and CT scan were performed.
Results
The patient right eye presented intense epibulbar and tarsal hyperemia, and it had a 1x1 mm corneal ulcer, positive in the fluorescent test, and an iridium hole below. Tyndall 2+ and IOP of 18 mmHg. No cataract was detected. Funduscopy examination showed a moderate amount of vitreous hemorrhage. A CT scan, retinography and a Swept‐Source OCT were performed and they revealed an intraocular foreign body located in the optic nerve area. The foreign body was removed via pars plana vitrectomy 23G surgery, requiring a magnet a demarcating laser. After four months the patient has a 20/20 visual acuity with no cataract.
Conclusions
This case underlines that although CT scan is considered the “gold standard” for the detection, localization and characterization of intraocular foreign bodies, new image techniques as Swept‐Source OCT can be a non invasive and accurate search tool in cases of intraocular foreign body. |
doi_str_mv | 10.1111/j.1755-3768.2017.0T060 |
format | article |
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To describe a case report of a 35 years old metal worker with a corneal ulcer in his right eye treated with an antibiotics ointment by a primary care doctor that presented blurry vision two days later.
Methods
Examination of the anterior chamber by slit lamp, tonometry was used to determine intraocular pressure, funduscopy, Swept‐Source OCT and CT scan were performed.
Results
The patient right eye presented intense epibulbar and tarsal hyperemia, and it had a 1x1 mm corneal ulcer, positive in the fluorescent test, and an iridium hole below. Tyndall 2+ and IOP of 18 mmHg. No cataract was detected. Funduscopy examination showed a moderate amount of vitreous hemorrhage. A CT scan, retinography and a Swept‐Source OCT were performed and they revealed an intraocular foreign body located in the optic nerve area. The foreign body was removed via pars plana vitrectomy 23G surgery, requiring a magnet a demarcating laser. After four months the patient has a 20/20 visual acuity with no cataract.
Conclusions
This case underlines that although CT scan is considered the “gold standard” for the detection, localization and characterization of intraocular foreign bodies, new image techniques as Swept‐Source OCT can be a non invasive and accurate search tool in cases of intraocular foreign body.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/j.1755-3768.2017.0T060</identifier><language>eng</language><publisher>Malden: Wiley Subscription Services, Inc</publisher><subject>Acuity ; Anterior chamber ; Antibiotics ; Cataracts ; Computed tomography ; Cornea ; Eye ; Foreign bodies ; Hemorrhage ; Hyperemia ; Image detection ; Intraocular pressure ; Localization ; Medical imaging ; Ointments ; Optic nerve ; Retinography ; Surgery ; Ulcers ; Visual acuity</subject><ispartof>Acta ophthalmologica (Oxford, England), 2017-09, Vol.95 (S259), p.n/a</ispartof><rights>2017 The Authors Acta Ophthalmologica © 2017 Acta Ophthalmologica Scandinavica Foundation</rights><rights>Copyright © 2017 Acta Ophthalmologica Scandinavica Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Berniolles, J.</creatorcontrib><creatorcontrib>Marco Monzon, S.</creatorcontrib><creatorcontrib>Ascaso Puyuelo, A.</creatorcontrib><creatorcontrib>Bartolomé Sesé, M.I.</creatorcontrib><creatorcontrib>Martínez Vélez, M.</creatorcontrib><creatorcontrib>Esteban Floria, O.</creatorcontrib><creatorcontrib>Sánchez, J.I.</creatorcontrib><creatorcontrib>Idoate Domench, A.</creatorcontrib><creatorcontrib>López Sangrós, I.</creatorcontrib><creatorcontrib>Ibáñez Alperte, J.</creatorcontrib><title>An intraocular foreign body detection using swept‐source OCT</title><title>Acta ophthalmologica (Oxford, England)</title><description>Purpose
To describe a case report of a 35 years old metal worker with a corneal ulcer in his right eye treated with an antibiotics ointment by a primary care doctor that presented blurry vision two days later.
Methods
Examination of the anterior chamber by slit lamp, tonometry was used to determine intraocular pressure, funduscopy, Swept‐Source OCT and CT scan were performed.
Results
The patient right eye presented intense epibulbar and tarsal hyperemia, and it had a 1x1 mm corneal ulcer, positive in the fluorescent test, and an iridium hole below. Tyndall 2+ and IOP of 18 mmHg. No cataract was detected. Funduscopy examination showed a moderate amount of vitreous hemorrhage. A CT scan, retinography and a Swept‐Source OCT were performed and they revealed an intraocular foreign body located in the optic nerve area. The foreign body was removed via pars plana vitrectomy 23G surgery, requiring a magnet a demarcating laser. After four months the patient has a 20/20 visual acuity with no cataract.
Conclusions
This case underlines that although CT scan is considered the “gold standard” for the detection, localization and characterization of intraocular foreign bodies, new image techniques as Swept‐Source OCT can be a non invasive and accurate search tool in cases of intraocular foreign body.</description><subject>Acuity</subject><subject>Anterior chamber</subject><subject>Antibiotics</subject><subject>Cataracts</subject><subject>Computed tomography</subject><subject>Cornea</subject><subject>Eye</subject><subject>Foreign bodies</subject><subject>Hemorrhage</subject><subject>Hyperemia</subject><subject>Image detection</subject><subject>Intraocular pressure</subject><subject>Localization</subject><subject>Medical imaging</subject><subject>Ointments</subject><subject>Optic nerve</subject><subject>Retinography</subject><subject>Surgery</subject><subject>Ulcers</subject><subject>Visual acuity</subject><issn>1755-375X</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqNkMFKw0AQQBdRsFZ_QRY8J85uNpsERCjFqlDowQrels1mUhJqtu4mlN78BL_RLzEx0rNzmWGYNzM8Qq4ZhKyP2zpkSRwHUSLTkANLQliDhBMyObZPj3X8dk4uvK8BJJNSTMj9rKFV0zptTbfVjpbWYbVpaG6LAy2wRdNWtqGdr5oN9Xvctd-fX952ziBdzdeX5KzUW49Xf3lKXhcP6_lTsFw9Ps9ny8CwREKAKRdxiqyUjPO8KEWSmkwD5BpMlGtWYCmzAmUGnIusyCDKDROxAMlTbbiOpuRm3Ltz9qND36q6_6HpTyqWRZILIZnop-Q4ZZz13mGpdq561-6gGKjBlarVIEINUtTgSv266sG7EdxXWzz8k1Kz1cuI_wCl0m7V</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Berniolles, J.</creator><creator>Marco Monzon, S.</creator><creator>Ascaso Puyuelo, A.</creator><creator>Bartolomé Sesé, M.I.</creator><creator>Martínez Vélez, M.</creator><creator>Esteban Floria, O.</creator><creator>Sánchez, J.I.</creator><creator>Idoate Domench, A.</creator><creator>López Sangrós, I.</creator><creator>Ibáñez Alperte, J.</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope></search><sort><creationdate>201709</creationdate><title>An intraocular foreign body detection using swept‐source OCT</title><author>Berniolles, J. ; Marco Monzon, S. ; Ascaso Puyuelo, A. ; Bartolomé Sesé, M.I. ; Martínez Vélez, M. ; Esteban Floria, O. ; Sánchez, J.I. ; Idoate Domench, A. ; López Sangrós, I. ; Ibáñez Alperte, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1760-e82458e1f6122bdf478c9a00ba0c3ba1def69de6902249d903bc14540628ac2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acuity</topic><topic>Anterior chamber</topic><topic>Antibiotics</topic><topic>Cataracts</topic><topic>Computed tomography</topic><topic>Cornea</topic><topic>Eye</topic><topic>Foreign bodies</topic><topic>Hemorrhage</topic><topic>Hyperemia</topic><topic>Image detection</topic><topic>Intraocular pressure</topic><topic>Localization</topic><topic>Medical imaging</topic><topic>Ointments</topic><topic>Optic nerve</topic><topic>Retinography</topic><topic>Surgery</topic><topic>Ulcers</topic><topic>Visual acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berniolles, J.</creatorcontrib><creatorcontrib>Marco Monzon, S.</creatorcontrib><creatorcontrib>Ascaso Puyuelo, A.</creatorcontrib><creatorcontrib>Bartolomé Sesé, M.I.</creatorcontrib><creatorcontrib>Martínez Vélez, M.</creatorcontrib><creatorcontrib>Esteban Floria, O.</creatorcontrib><creatorcontrib>Sánchez, J.I.</creatorcontrib><creatorcontrib>Idoate Domench, A.</creatorcontrib><creatorcontrib>López Sangrós, I.</creatorcontrib><creatorcontrib>Ibáñez Alperte, J.</creatorcontrib><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berniolles, J.</au><au>Marco Monzon, S.</au><au>Ascaso Puyuelo, A.</au><au>Bartolomé Sesé, M.I.</au><au>Martínez Vélez, M.</au><au>Esteban Floria, O.</au><au>Sánchez, J.I.</au><au>Idoate Domench, A.</au><au>López Sangrós, I.</au><au>Ibáñez Alperte, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An intraocular foreign body detection using swept‐source OCT</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><date>2017-09</date><risdate>2017</risdate><volume>95</volume><issue>S259</issue><epage>n/a</epage><issn>1755-375X</issn><eissn>1755-3768</eissn><abstract>Purpose
To describe a case report of a 35 years old metal worker with a corneal ulcer in his right eye treated with an antibiotics ointment by a primary care doctor that presented blurry vision two days later.
Methods
Examination of the anterior chamber by slit lamp, tonometry was used to determine intraocular pressure, funduscopy, Swept‐Source OCT and CT scan were performed.
Results
The patient right eye presented intense epibulbar and tarsal hyperemia, and it had a 1x1 mm corneal ulcer, positive in the fluorescent test, and an iridium hole below. Tyndall 2+ and IOP of 18 mmHg. No cataract was detected. Funduscopy examination showed a moderate amount of vitreous hemorrhage. A CT scan, retinography and a Swept‐Source OCT were performed and they revealed an intraocular foreign body located in the optic nerve area. The foreign body was removed via pars plana vitrectomy 23G surgery, requiring a magnet a demarcating laser. After four months the patient has a 20/20 visual acuity with no cataract.
Conclusions
This case underlines that although CT scan is considered the “gold standard” for the detection, localization and characterization of intraocular foreign bodies, new image techniques as Swept‐Source OCT can be a non invasive and accurate search tool in cases of intraocular foreign body.</abstract><cop>Malden</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1111/j.1755-3768.2017.0T060</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acuity Anterior chamber Antibiotics Cataracts Computed tomography Cornea Eye Foreign bodies Hemorrhage Hyperemia Image detection Intraocular pressure Localization Medical imaging Ointments Optic nerve Retinography Surgery Ulcers Visual acuity |
title | An intraocular foreign body detection using swept‐source OCT |
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