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Spektrum der Augenheilkunde
Erschienen in:

13.09.2017 | Vitreoretinal Disorders and Vitrectomy

Hybrid 20/23-gauge vitrectomy in a patient with retained intraocular air-gun pellet

A case report

verfasst von: Prof. Dr. Nelly Sivkova, MD, PhD, FEBO, Vladimir Stavrev, MD

Erschienen in: Spektrum der Augenheilkunde | Ausgabe 1/2018

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Summary

Eye injuries caused by air-gun pellets are some of the most severe ocular injuries and can lead to loss of vision. We present the case of a 16-year-old boy with a retained intraocular air-gun pellet who underwent hybrid 20/23-gauge phacovitrectomy with foreign body removal and silicone oil tamponade. The patient’s visual acuity before surgery was perception of light. Computer tomography scans detected the intraocular localization of a metal foreign body. Once removed, the air-gun pellet was revealed to be 7 mm long. Traumatic cataract, vitreous hemorrhage, and retinal detachment were present. During the 3‑month follow-up period there were no signs of inflammation. Best-corrected visual acuity reached 20/200.
Vorheriger Artikel Retinal folds following retinal detachment surgery: presentation of our own cases and literature review of risk factors, management and visual outcomes
Nächster Artikel Harvey Alan Lincoff, M. D.
Literatur
1.
Richards RD, West CE, Meisels AA. Chorioretinitis sclopetaria. Am J Ophthalmol. 1968;66(5):852–60.CrossRef
2.
Martin DF, Awh CC, McCuen BW, Jaffe GJ, Slott JH, Machemer R. Treatment and pathogenesis of traumatic chorioretinal rupture (Sclopetaria). Am J Ophthalmol. 1994;117:190–200.CrossRef
3.
Dubovy SR, Guyton DL, Green WR. Clinicopathologic correlation of chorioretinitis sclopetaria. Retina. 1997;17:510–20.CrossRef
4.
Shuttleworth GN, Galloway PH. Ocular air-gun injuries: 19 cases. J R Soc Med. 2001;94:396–9.CrossRef
5.
Okeye BO, Losty PD, Lloyd DA, Lamont GL. Air gun injuries in children: a continuing cause for concern. J R Coll Surg Edinb. 1997;42:353–4.
6.
Morre AT, McCartney A, Cooling RJ. Ocular injuries associated with the use of air guns. Eye. 1978;1:422–9.CrossRef
7.
Sharif KW, McGhee CNJ, Tomlinson RC. Ocular trauma caused by air-gun pellets: a ten year survey. Eye. 1990;4:855–60.CrossRef
8.
Marshall DH, Brownstein S, Addison DJ, Mackenzie SG, Jordan DR, Clark WN. Air guns: the main cause of enucleation secondary to trauma on children and young adults in the greater Ottawa area in 1974–93. Can J Ophthalmol. 1995;30:187–92.PubMed
9.
Bowen DI, Magauran DM. Ocular injuries caused by air gun pellets: an analysis of 105 cases. Br Med J. 1973;1:333–7.CrossRef
10.
Enger C, Schein OD, Tielsh JM. Risk factors for ocular injuries caused by air guns. Arch Ophthalmol. 1996;114:469–74.CrossRef
11.
Bratton SL, Dowd MD, Brogan TV, Hegenbarth MA. Serious and fatal air gun injuries: more than meets the eye. Pediatrics. 1997;100:609–12.CrossRef
12.
Roden D, Cleary P, Eustace P. A five-year survey of ocular shotgun injuries in Ireland. Br J Ophthalmol. 1987;71:449–53.CrossRef
13.
Grosso A, Pasnicoc S. Surgical management of sclopetaria associated with macular hole in a young patient: long term results. Eye. 2009;23:1875–6.CrossRef
14.
Heimann K, Paulmann H, Tavakolian U. The intraocular foreign body. Principles and problems in the management of complicated cases by pars plana vitrectomy. Int Ophthalmol. 1983;6:235–42.CrossRef
15.
Jonas JB, Budde WM. Early versus late removal of retained intraocular foreign bodies. Retina. 1999;19:193–7.CrossRef
16.
Mittra RA, Mieler WF. Controversies in the management of open-globe injuries involving the posterior segment (review). Surv Ophthalmol. 1999;44(3):215–25.CrossRef
17.
Coleman DJ. Early vitrectomy in the management of the severely traumatized eye. Am J Ophthalmol. 1982;93:543–55.CrossRef
18.
De Juan E Jr, Sternberg P Jr, Michels RG. Timing of vitrectomy after penetrating ocular injuries. Ophthalmology. 1984;9:1072–4.CrossRef
19.
Mieler WF, Mittra RA. The role and timing of pars plana vitrectomy in penetrating ocular trauma. Arch Ophthalmol. 1997;115(9):1191–2.CrossRef
20.
Dalma-Weiszhausz J, Quiroz-Mercado H, Morales-Canton V, et al. Vitrectomy for ocular trauma: a question of timing? Eur J Ophthalmol. 1996;6(4):460–3.CrossRef
21.
Spalding SC, Sternberg P Jr.. Controversies in the management of posterior segment ocular trauma (review). Retina. 1990;10(Suppl 1):76–82.CrossRef
22.
Xintong Li, Zabrin MA, Bhagat N. Pediatric open globe injury: a review of the literature. J Emerg Trauma Shock. 2015;8(4):216–23.CrossRef
23.
Abd AM, Alim EL. Vitrectomy in double perforating gunshot injury. Clin Ophthalmol. 2013;7:2219–24.
24.
Hermsen V. Vitrectomy in severe ocular trauma. Ophthalmologica. 1984;189(1):86–92.CrossRef
25.
Demircan N, Soylu M, Yagmur M, et al. Pars plana vitrectomy in ocular injury with intraocular foreign body. J Trauma. 2005;59(5):1216–8.CrossRef
26.
Cornut PL, Chiquet C. Intravitreal injection of antibiotics in endophthalmitis. J Fr Ophthalmol. 2008;31:815–23.CrossRef
27.
Andreoli CM, Andreoli MT, Kloek CE, Ahuero AE, Vavvas D, Durand ML. Low rate of endophthalmitis in a large series of open globe injuries. Am J Ophthalmol. 2009;147(4):601–8.CrossRef
28.
Bhagat N, Nagori S, Zarbin M. Post-traumatic infectious endophthalmitis. Surv Ophthalmol. 2011;56(3):214–51.CrossRef
Metadaten
Titel
Hybrid 20/23-gauge vitrectomy in a patient with retained intraocular air-gun pellet
A case report
verfasst von
Prof. Dr. Nelly Sivkova, MD, PhD, FEBO
Vladimir Stavrev, MD
Publikationsdatum
13.09.2017
Verlag
Springer Vienna
Erschienen in
Spektrum der Augenheilkunde / Ausgabe 1/2018
Print ISSN: 0930-4282
Elektronische ISSN: 1613-7523
DOI
https://doi.org/10.1007/s00717-017-0371-8

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