First Author: F.March de Ribot SPAIN
Co Author(s): P. Lopez Lizarraga A. March de Ribot
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To share the experience and the challenge it represents for a surgeon the treatment of complex traumatic injuries with the presence of intraocular foreign bodies.
University hospital, ophthalmology department
Clinical and surgical case: A 22 years old patient suffered from an old trauma injury in the right eye 10 years ago. This was due to an accident when he was playing around people hammering on steel. The presence of iron intraocular foreign body was suspected. The patient presented a brunescent cataract. The echography detected the presence of an intraocular foreign body, electroretinogram response was diminished. A combined surgery with extracapsular extraction and vitrectomy were planned in order to remove the intraocular foreign body.
Cataract surgery was realized using trypan blue dye to stain the anterior capsule. The capsulorrhexis was difficult. The cataract could be removed completely with an extracapsular extraction. A 3 pieces intraocular lens was placed in sulcus. The posterior vitrectomy identified a superior intraocular foreign body. The retina was attached, but the aspect was pale with ischemic vessels. The foreign body could be removed through a scleral incision.
Intraocular foreign bodies represent a medical and surgical challenge. Each case has to be evaluated individually to determine the best management. Medical treatment and a close follow up are very important to get the best result.