gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

The surprising finding and removal of a large plastic foreign body through the corneal wound from the vitreous cavity with good outcome

Meeting Abstract

Suche in Medline nach

  • corresponding author B. Gracner - Oddelek za ocesne bolezni, Ucna bolnianica Maribor, Maribor, Slovenija
  • D. Pahor - Oddelek za ocesne bolezni, Ucna bolnianica Maribor, Maribor, Slovenija
  • T. Gracner - Oddelek za ocesne bolezni, Ucna bolnianica Maribor, Maribor, Slovenija

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogDO.17.02

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog152.shtml

Veröffentlicht: 22. September 2004

© 2004 Gracner et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Presented is a patient whose anamnesis showed that during a hammer-blow on a piece of iron something had flown into his left eye. Clinical investigation revealed a 9 mm long, horizontal, paracentrally located, penetrating corneal wound. Temporally in the same region the iris was torn in its entire width. The lens appeared opaque and seemed to be cut in two. Radiological investigation revealed no foreign body.

Methods

The operative treatment presented a surprise: the white piece, which had been considered to be a part of the traumatic cataract, was actually the edge of a large plastic foreign body lying in the vitreous cavity. The exciting and complicated procedure of removing this 12 x 11 x 2 mm large foreign body through the corneal wound as well as the reconstruction of the anterior segment of the eye are recorded on videotape and will be shown.

Results

7 months after the injury the corneal wound is very tender, the corneal sutures have not been removed, the retina of the aphakic eye is undamaged. Visual acuity with a contact lens is 0.7.

Conclusions

Operative treatment of patients with a penetrating eye injury is always demanding and difficult and requires a lot of experience. Particularly in apparently hopeless cases, an optimum primary care is of greatest importance.