Occult nonmetallic intraocular foreign bodies presenting as fulminant uveitis: a case series and review of the literature

Sychev, Yevgeniy V.; Verner-Cole, Elizabeth; Suhler, Eric B.; Stout, J. Timothy; Vemulakonda, Gurunadh Atmaram

doi:10.2147/opth.s47339

Cited by 7 publications

(4 citation statements)

References 9 publications

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“…Magnetic resonance imaging (MRI) is used only when the presence of a metallic IOFBs is ruled out. [9], [10] IOFBs pose a significant threat of infection.…”

Section: Discussionmentioning

confidence: 99%

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Intraocular Foreign Body: Striving the Optimal Visual Outcome

Firmansjah

Sudrajat

Yustiarini

et al. 2023

VSEHJ

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Introduction: Intraocular foreign bodies (IOFBs) are defined as intraocularly retained, unintentional projectiles that require urgent diagnosis and treatment to prevent blindness or globe loss. Case Presentation: We report a case of IOFB due to occupational accidents. In this case, there were delays in extraction considering the health facilities and conditions related to COVID-19 infection. Initially, the patient underwent closure of the entrance wound, which was performed within the first 24 hours post-trauma. However, although there was no endophthalmitis, visual acuity at the end of the observation still showed an unexpected outcome. The patient was followed up for three months after IOFBs extraction. The timing of IOFBs removal depends on several factors, including the patient’s overall health status, the nature of the injury, and the composition of the IOFBs. The postoperative examinations focus on complications such as endophthalmitis, postoperative retinal detachment, proliferative vitreoretinopathy (PVR), and sympathetic ophthalmia. The numerical values can then be used to predict the expected visual acuity using the ocular trauma score system. Conclusions: Many factors could affect the outcome quality of visual acuity. Primary wound closure, foreign body extraction, and anatomic reconstruction of the holistic ocular should be performed as soon as possible. Delay in definitive treatment was thought to affect worsening prognosis due to tissue proliferation and the tendency for severe complications, including endophthalmitis.

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“…Magnetic resonance imaging (MRI) is used only when the presence of a metallic IOFBs is ruled out. [9], [10] IOFBs pose a significant threat of infection.…”

Section: Discussionmentioning

confidence: 99%

“…Fortunately, the patient showed no signs of infection until the wound healed three months post-trauma. [3], [9], [10] Several variables influence the time of IOFBs elimination.…”

Section: Discussionmentioning

confidence: 99%

Intraocular Foreign Body: Striving the Optimal Visual Outcome

Firmansjah

Sudrajat

Yustiarini

et al. 2023

VSEHJ

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“…Unlike our patient whose symptoms nearly resolved prior to presentation, all three cases had progressively worsened until treatment. 10 …”

Section: Discussionmentioning

confidence: 99%

An Unusual Presentation of Retinal Detachment and Conjunctivitis: A Case Report

Pierce

Alter

Gerakopoulos

et al. 2020

Clinical Practice and Cases in Emergency Medicine

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Introduction: Vision loss is an ophthalmologic emergency with broad differential requiring prompt medical attention. Case Report: We describe a 55-year-old male presenting to the emergency department (ED) with unilateral, painless visual field deficit with ipsilateral conjunctivitis induced by a presumed foreign body. The patient described a foreign body sensation nine days prior to developing visual changes. In the ED, the patient was diagnosed with a retinal detachment using point-of-care ultrasonography, and emergent ophthalmologic consultation was obtained. Conclusion: Concurrent retinal detachment and conjunctivitis in a patient is extremely rare. Healthcare providers should be aware that foreign body-induced conjunctivitis could lead to retinal detachment.

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“…In this case, history was important because a history of probable trauma was elicited despite no external evidence of ocular penetration. Imaging may not be adequate; CT has reduced sensitivity for less radiodense or even small metallic foreign bodies . Close monitoring is important to confirm the continued clinical improvement or, as in this case, to alter management if necessary.…”

Section: Discussionmentioning

confidence: 99%