Post-traumatic endophthalmitis with retained intraocular foreign body – a case report with review of literature

Abstract

The causative organism isolated was similar to that documented in other reports. Endophthalmitis must be treated with vitrectomy and intra-vitreal injections of antibiotics after a proper vitreous tap.

Percutaneous retrieval of a shard of metal from the right ventricular apex after an industrial accident

“…Another neurosurgical manuscript reports a case of glioblastoma 37 years after injury with a metal splinter where histological examination showed a chronic abscess [7]. In ophthalmology, several cases regarding endophthalmitis after penetrating eye injury have been described [8]. Another study examined 159 patients from 1997 to 2009 who still retained foreign bodies from injuries sustained in World War II.…”

Fibres found in the eye during and after phacoemulsification cataract surgery

“…11,12,15 Any amount of foreign material within the eye may result in intraocular inflammation, which may prejudice an otherwise excellent visual result. 9 Thus the surgeon must remove any foreign body recognised intraoperatively, whether on instruments (Figure 2) or in the AC itself.…”

“…Current evidence suggests that the majority of retained intraocular fibres cause little or no inflammatory response. 1 In the absence of fibre-related adverse reactions/complications, such as endophthalmitis, 6,9,11,12,15 surgical removal of fibres, found postoperatively, currently remains unjustified.…”

“…[1][2][3][4][5][6][7][8][9][10][11] There are numerous possible mechanisms recognised for the introduction of fibres into the AC. These are documented in Table 1.…”

“…5,6,[10][11][12] Indeed, some fibres are benign and do not appear to cause any inflammatory response from the eye. Others, such as human cilia, may lead to devastating complications such as endophthalmitis.…”