Management of Penetrating Eye Injury with Intraocular Foreign Body
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Submitted
October 7, 2015
Published
October 24, 2015
Abstract
Background: To report the importance of vitrectomy procedure in penetrating eye injury with retain intraocular foreign body (IOFB) at the proper time.
Methods: An observational case report. A 17-year-old man came to hospital and was diagnosed aspenetrating eye injury with retain intraocular foreign body of the left eye. The visual acuity of the left eyewas only 2 meters finger counting. Immediate surgery of scleral buckling, vitrectomy, intraocular foreignbody removal and intravitreal vancomycin-ceftazidime injection were performed on the next day.
Results: There were metallic IOFB, retinal vasculitis and focal retinitis seen when vitrectomy wasperformed. One month after vitrectomy, the visual acuity of the left eye has improved to 6/12 with correction.
Conclusion: Proper and prompt management of penetrating eye injury could contribute in preserving agood anatomical and functional result. In the existence of IOFB, vitrectomy should be done promptly inthe first surgical window to gain a better result
Keywords: penetrating eye injury; intraocular foreign body
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References
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De Juan E, Jr., Sternberg P, Jr., Michels RG. Penetrating ocular injuries. Types of injuries and visual results. Ophthalmology. 1983;90(11):1318-22.
Yuriani I. characteristics of traumatic ocular injury cases at emergency unit of dr. cipto mangunkusumo hospital jakarta January - December 2009. Jakarta: universitas indonesia; 2011.
Ryan SJ, Yoon YH. Posterior Segment Trauma: Open Globe. In: ryan sj, editor. Retina (Philadelphia, Pa). 3.Philadelphia: elsevier; 2006. p. 2353-63.
Reynolds DS, Flynn HW, Jr. Endophthalmitis after penetrating ocular trauma. Current opinion in ophthalmology.1997;8(3):32-8.
Bhagat N, Nagori S, Zarbin M. Post-traumatic Infectious Endophthalmitis. Survey of ophthalmology. 2011;56(3):214-51.
Falavarjani KG, Hashemi M, Modarres M, Parvaresh MM,Naseripour M, Nazari H, et al. Vitrectomy for posterior
segment intraocular foreign bodies, visual and anatomical outcomes. Middle East African journal of ophthalmology.2013;20(3):244-7.
Chaudhry IA, Shamsi FA, Al-Harthi E, Al-Theeb A, Elzaridi E, Riley FC. Incidence and visual outcome of endophthalmitis associated with intraocular foreign bodies. Graefe’s archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2008;246(2):181-6.
Mieler WF, Mittra RA. The role and timing of pars plana vitrectomy in penetrating ocular trauma. Arch Ophthalmol. 1997;115(9):1191-2.
Schmidt GW, Broman AT, Hindman HB, Grant MP. Vision survival after open globe injury predicted by classification and regression tree analysis. Ophthalmology. 2008;115(1):202-9.
Dannenberg AL, Parver LM, Brechner RJ, Khoo L. Penetrating eye injuries in the workplace: The national eye trauma system registry. Archives of Ophthalmology. 1992;110(6):843
Pieramici DJ, Sternberg P, Jr., Aaberg TM, Sr., Bridges WZ, Jr., CaponeA, Jr., Cardillo JA, et al. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. American journal of ophthalmology. 1997;123(6):820-31.
Gregor Z, Ryan SJ. Combined posterior contusion and penetrating injury in the pig eye. III. A controlled treatment trial of vitrectomy. The British journal of ophthalmology.1983;67(5):282-5.
Michels RG. Vitrectomy Methods in Penetrating Ocular Trauma. Ophthalmology: Journal of the AAO.87(7):629-45.
Zhang Y, Zhang M, Jiang C, Qiu HY. Intraocular foreign bodies in china: clinical characteristics, prognostic factors, and visual outcomes in 1,421 eyes. American journal of ophthalmology. 2011;152(1):66-73.e1.
Thompson JT, Parver LM, Enger CL, Mieler WF, Liggett PE. Infectious endophthalmitis after penetrating injuries with retained intraocular foreign bodies. National Eye Trauma System. Ophthalmology. 1993;100(10):1468-74.
Alfaro DV, Roth D, Liggett PE. Posttraumatic endophthalmitis. Causative organisms, treatment, and prevention. Retina (Philadelphia, Pa). 1994;14(3):206-11.
Kresloff MS, Castellarin AA, Zarbin MA. Endophthalmitis. Survey of ophthalmology.43(3):193-224.
Gentile RC, Shukla S, Shah M, Ritterband DC, Engelbert M, Davis A, et al. Microbiological Spectrum and Antibiotic Sensitivity in Endophthalmitis: A 25-Year Review. Ophthalmology. 2014.
Ukpo GE, Ebuehi OA, Kareem AA. Evaluation of Moxifloxacin-induced Biochemical Changes in Mice. Indian journal of pharmaceutical sciences. 2012;74(5):454-7.
Iyer MN, He F, Wensel TG, Mieler WF, Benz MS, Holz ER. Intravitreal clearance of moxifloxacin. Transactions of the American Ophthalmological Society. 2005;103:76-81; discussion -3
De Juan E, Jr., Sternberg P, Jr., Michels RG. Penetrating ocular injuries. Types of injuries and visual results. Ophthalmology. 1983;90(11):1318-22.
Yuriani I. characteristics of traumatic ocular injury cases at emergency unit of dr. cipto mangunkusumo hospital jakarta January - December 2009. Jakarta: universitas indonesia; 2011.
Ryan SJ, Yoon YH. Posterior Segment Trauma: Open Globe. In: ryan sj, editor. Retina (Philadelphia, Pa). 3.Philadelphia: elsevier; 2006. p. 2353-63.
Reynolds DS, Flynn HW, Jr. Endophthalmitis after penetrating ocular trauma. Current opinion in ophthalmology.1997;8(3):32-8.
Bhagat N, Nagori S, Zarbin M. Post-traumatic Infectious Endophthalmitis. Survey of ophthalmology. 2011;56(3):214-51.
Falavarjani KG, Hashemi M, Modarres M, Parvaresh MM,Naseripour M, Nazari H, et al. Vitrectomy for posterior
segment intraocular foreign bodies, visual and anatomical outcomes. Middle East African journal of ophthalmology.2013;20(3):244-7.
Chaudhry IA, Shamsi FA, Al-Harthi E, Al-Theeb A, Elzaridi E, Riley FC. Incidence and visual outcome of endophthalmitis associated with intraocular foreign bodies. Graefe’s archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2008;246(2):181-6.
Mieler WF, Mittra RA. The role and timing of pars plana vitrectomy in penetrating ocular trauma. Arch Ophthalmol. 1997;115(9):1191-2.
Schmidt GW, Broman AT, Hindman HB, Grant MP. Vision survival after open globe injury predicted by classification and regression tree analysis. Ophthalmology. 2008;115(1):202-9.
Dannenberg AL, Parver LM, Brechner RJ, Khoo L. Penetrating eye injuries in the workplace: The national eye trauma system registry. Archives of Ophthalmology. 1992;110(6):843
Pieramici DJ, Sternberg P, Jr., Aaberg TM, Sr., Bridges WZ, Jr., CaponeA, Jr., Cardillo JA, et al. A system for classifying mechanical injuries of the eye (globe). The Ocular Trauma Classification Group. American journal of ophthalmology. 1997;123(6):820-31.
Gregor Z, Ryan SJ. Combined posterior contusion and penetrating injury in the pig eye. III. A controlled treatment trial of vitrectomy. The British journal of ophthalmology.1983;67(5):282-5.
Michels RG. Vitrectomy Methods in Penetrating Ocular Trauma. Ophthalmology: Journal of the AAO.87(7):629-45.
Zhang Y, Zhang M, Jiang C, Qiu HY. Intraocular foreign bodies in china: clinical characteristics, prognostic factors, and visual outcomes in 1,421 eyes. American journal of ophthalmology. 2011;152(1):66-73.e1.
Thompson JT, Parver LM, Enger CL, Mieler WF, Liggett PE. Infectious endophthalmitis after penetrating injuries with retained intraocular foreign bodies. National Eye Trauma System. Ophthalmology. 1993;100(10):1468-74.
Alfaro DV, Roth D, Liggett PE. Posttraumatic endophthalmitis. Causative organisms, treatment, and prevention. Retina (Philadelphia, Pa). 1994;14(3):206-11.
Kresloff MS, Castellarin AA, Zarbin MA. Endophthalmitis. Survey of ophthalmology.43(3):193-224.
Gentile RC, Shukla S, Shah M, Ritterband DC, Engelbert M, Davis A, et al. Microbiological Spectrum and Antibiotic Sensitivity in Endophthalmitis: A 25-Year Review. Ophthalmology. 2014.
Ukpo GE, Ebuehi OA, Kareem AA. Evaluation of Moxifloxacin-induced Biochemical Changes in Mice. Indian journal of pharmaceutical sciences. 2012;74(5):454-7.
Iyer MN, He F, Wensel TG, Mieler WF, Benz MS, Holz ER. Intravitreal clearance of moxifloxacin. Transactions of the American Ophthalmological Society. 2005;103:76-81; discussion -3
Authors
Putra, A. C. A., Victor, A. A., Elvioza, E., Djatikusumo, A., Andayani, G. L., & Ramayundanta, A. (2015). Management of Penetrating Eye Injury with Intraocular Foreign Body. Ophthalmologica Indonesiana, 41(1). https://doi.org/10.35749/journal.v41i1.1
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Putra, A. C. A., Victor, A. A., Elvioza, E., Djatikusumo, A., Andayani, G. L., & Ramayundanta, A. (2015). Management of Penetrating Eye Injury with Intraocular Foreign Body. Ophthalmologica Indonesiana, 41(1). https://doi.org/10.35749/journal.v41i1.1