gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Bilateral perforating injury with two intraocular foreign bodies from a chain saw

Meeting Abstract

  • Evelin Schneider - Würzburg/Germany
  • T. Klink - Würzburg/Germany
  • W. Göbel - Würzburg/Germany
  • W.F. Schrader - Würzburg/Germany

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V096

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Schneider et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Aim: To demonstrate the outcome of a bilateral perforating injury with IOFB from a chain saw.

Methods: Case report.

Results: A 14 year old boy was helping his grandfather preparing wood, when the chain saw broke. Each eye was hit by a tooth from the chain causing a perforating injury. No other injury was observed. Following primary wound closure and limited vitrectomy the patient had early vitrectomy bilaterally. An early secondary vitrectomy was performed in both eyes within 100 hrs. One eye needed further surgery due to a PVR development.

As in one eye the macula was hit and only the nasal retina could be preserved, this eye regained 20/600 vision only. The other eye recovered to 20/60 vision.

Conclusion: Due to early intervention, the grade of PVR could be reduced.