Citation

Irving Enrique CS, Dhariana AR, Vidal SV, Carlos Felipe PH, Lorena WG, Gerardo GA. Am. J. Ophthalmol. Case Rep. 2018; 11: 115-118.

Affiliation

Retina Department, Asociación para Evitar la Ceguera en México, Hospital "Dr. Luis Sánchez Bulnes" IAP. Mexico City, Mexico.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.ajoc.2018.06.010

PMID

30003177

PMCID

PMC6040264

Abstract

PURPOSE: To report the conservative management of a penetrating ocular trauma caused by a nail gun with a six-month follow up. OBSERVATIONS: A 21 year-old healthy female suffered an ocular penetrating trauma with a nail gun. She presented with a metallic foreign body that partially entered her left eye through the nasal sclera via pars plana, 3 mm posterior to the limbus, but did not reach the retina. Surgical removal of the foreign body and closure of the scleral wound, without vitrectomy, was performed 16 h after the injury. Intravitreal prophylactic antibiotic was administered. Retinal atrophy developed in the areas that had commotio retinae at presentation, but no further complications were observed.

CONCLUSIONS: and Importance: Pars plana vitrectomy may not be necessary in all penetrating ocular traumas with intraocular foreign body, as long as the foreign body is accessible from the exterior of the eye and there are no other conditions (such as vitreous hemorrhage, retinal detachment, endophthalmitis, etc) that are an indication for vitrectomy.

Language: en

Keywords

Intraocular foreign body; Nail gun; Pars plana vitrectomy; Penetrating ocular trauma; Scleral wound