Posttraumatische "endophthalmitis" mit intraokularem fremdkörper

Translated title of the contribution: Post-traumatic inflammation with an intraocular foreign body

A. A. Bialasiewicz, S. M. Al-Zuhaibi, A. Ganesh

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background. To report on the diagnosis and management of a"firecracker" injury presenting with a post-traumatic intraocular inflammation. Case report. A 10-year-old boy sustained a penetrating 16-mm cornea-sclera blast injury to his left eye with uveal prolapse and hemophthalmus and doubtful light perception. The cranial computed tomography revealed a metallic intraocular foreign body (IOFB), retinal detachment, and subretinal and subchoroidal hemorrhage. After primary wound closure and antibiotic treatment for 1 week, increasing cell infiltration and amaurosis developed, and a lensectomy, pars plana vitrectomy, and extraction of the 17x7x7-mm encapsulated IOFB via a scleral tunnel was indicated. Results. A vitreous specimen did not reveal microbial growth; however, plenty of polymorphonuclear cells, macrophages, and lymphocytes were observed. Spectroscopy of the IOFB showed copper, zinc, silicon, lead, and other metals. A diagnosis of noninfectious inflammation due to heavy metals, primarily copper (=chalcosis), was made. The postoperative course was unremarkable, the intraocular lens in place, fundus CDR 0.2, retina and macula attached, intraocular pressure 9 mmHg. Three weeks after surgery, the flash VEP showed absent potentials. Conclusions. Large projectiles or parts should be removed from the eye immediately in order to prevent complications from toxic metallosis and early fibrotic reactions.

Translated title of the contributionPost-traumatic inflammation with an intraocular foreign body
Original languageGerman
Pages (from-to)669-673
Number of pages5
JournalOphthalmologe
Volume105
Issue number7
DOIs
Publication statusPublished - Jul 2008

Keywords

  • Chalcosis
  • Copper
  • Endophthalmitis
  • Gun shell
  • Trauma
  • Zinc

ASJC Scopus subject areas

  • Ophthalmology

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