open access

Vol 7 (2022): Continuous Publishing
Case report
Published online: 2022-03-17
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Spontaneous extrusion of a missed intraocular foreign body

Arjav Gupta1, Nicole Costanzo2, Sanjoy K. Gupta3
·
Ophthalmol J 2022;7:42-45.
Affiliations
  1. Department of Computer Science, Dalhousie University, Halifax, NS, Canada
  2. Department of Biology, Lakehead University, Thunder Bay, ON, Canada
  3. Northern Ontario School of Medicine, Lakehead University, Thunder Bay, ON, Canada

open access

Vol 7 (2022): Continuous Publishing
CASE REPORTS
Published online: 2022-03-17

Abstract

Intraocular foreign bodies can severely damage the eye and lead to secondary complications, including blindness. They are a significant cause of workplace-related injuries. Besides obtaining a detailed history of the mechanism of injury, the workup should include visual acuity documentation and a thorough examination of the eyes. A high index of suspicion should be present in cases of high-speed injuries without safety glasses. Imaging studies such as X-ray, computed tomography (CT) scan, and ultrasound should be carried out to rule out the presence of an intraocular foreign body. A missed intraocular foreign body may lead to secondary complications, including blindness.

We present the case of an unfortunate young man, where the initial foreign body was missed, resulting in secondary blindness. A 7-mm metallic wire was found slowly extruding from the eye two years after the original injury.

Abstract

Intraocular foreign bodies can severely damage the eye and lead to secondary complications, including blindness. They are a significant cause of workplace-related injuries. Besides obtaining a detailed history of the mechanism of injury, the workup should include visual acuity documentation and a thorough examination of the eyes. A high index of suspicion should be present in cases of high-speed injuries without safety glasses. Imaging studies such as X-ray, computed tomography (CT) scan, and ultrasound should be carried out to rule out the presence of an intraocular foreign body. A missed intraocular foreign body may lead to secondary complications, including blindness.

We present the case of an unfortunate young man, where the initial foreign body was missed, resulting in secondary blindness. A 7-mm metallic wire was found slowly extruding from the eye two years after the original injury.

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Keywords

 intraocular foreign body; ocular trauma; blindness; imaging

About this article
Title

Spontaneous extrusion of a missed intraocular foreign body

Journal

Ophthalmology Journal

Issue

Vol 7 (2022): Continuous Publishing

Article type

Case report

Pages

42-45

Published online

2022-03-17

Page views

4925

Article views/downloads

515

DOI

10.5603/OJ.2022.0005

Bibliographic record

Ophthalmol J 2022;7:42-45.

Keywords

 intraocular foreign body
ocular trauma
blindness
imaging

Authors

Arjav Gupta
Nicole Costanzo
Sanjoy K. Gupta

References (7)
  1. Parke DW, Flynn HW, Fisher YL. Management of intraocular foreign bodies: a clinical flight plan. Can J Ophthalmol. 2013; 48(1): 8–12.
  2. Loporchio D, Mukkamala L, Gorukanti K, et al. Intraocular foreign bodies: A review. Surv Ophthalmol. 2016; 61(5): 582–596.
  3. Paul A, Lewis A. Safety goggles: are they adequate to prevent eye injuries caused by rotating wire brushes? Emerg Med J. 2008; 25(6): 385.
  4. Yeniad B, Beginoglu M, Ozgun C. Missed intraocular foreign body masquerading as intraocular inflammation: two cases. Int Ophthalmol. 2010; 30(6): 713–716.
  5. Mwangi N, Mutie DM. Emergency management: penetrating eye injuries and intraocular foreign bodies. Community Eye Health. 2018; 31(103): 70–71.
  6. Xu K, Almeida DRP. Intraocular foreign bodies. CMAJ. 2017; 189(4): E163.
  7. Purtskhvanidze K, Rüfer F, Klettner A, et al. Ocular Trauma Score as prognostic value in traumatic ocular injuries due to rotating wire brushes. Graefes Arch Clin Exp Ophthalmol. 2017; 255(5): 1037–1042.

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