Traumatic eye injuries due to large unusual foreign bodies: a Singapore case series

Traumatic eye injuries due to large foreign bodies (FB) are rare. The visual prognosis is often poor in these cases because of severe ocular damage. Staged surgical procedures with eventual enucleation or evisceration are often indicated. Case series. The authors describe two patients with eye injur...

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Bibliographic Details
Published in:European journal of ophthalmology 2003-05, Vol.13 (4), p.398-402
Main Authors: PAN, J. C. H, YAP, E. Y, YIP, C. C
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Eye Enucleation
Eye Foreign Bodies - complications
Eye Foreign Bodies - diagnostic imaging
Eye Foreign Bodies - pathology
Eye Foreign Bodies - surgery
Eye Injuries - etiology
Eye Injuries - physiopathology
Eye Injuries - surgery
Eye, Artificial
Humans
Injuries of the orbit. Foreign bodies of the eye. Diseases due to physical agents
Male
Medical sciences
Orbit Evisceration
Orbital Diseases - surgery
Tomography, X-Ray Computed
Traumas. Diseases due to physical agents
Tropical medicine
Visual Acuity
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Summary:Traumatic eye injuries due to large foreign bodies (FB) are rare. The visual prognosis is often poor in these cases because of severe ocular damage. Staged surgical procedures with eventual enucleation or evisceration are often indicated. Case series. The authors describe two patients with eye injury due to large FB with visual acuity of no light perception at presentation. Both had initial repair of the ocular injuries and removal of the FB. One patient with an intraocular FB eventually underwent enucleation; the other, with intraorbital FB, had evisceration as a secondary procedure. Orbital implantations were done in both. Neither of the patients had developed sympathetic ophthalmia at the last review. The visual outcome of eye injuries due to large FB is poor. Both enucleation and evisceration can be performed with low risk of sympathetic ophthalmia. Prevention remains the best approach to such devastating injuries.
ISSN:1120-6721
1724-6016
DOI:10.1177/112067210301300413