Abstract

MOLINA CISNEROS, Ceija et al. Open globe ocular trauma with intraocular foreign body. Rev Cubana Oftalmol [online]. 2016, vol.29, n.1. ISSN 0864-2176.

Intraocular foreign bodies represent up to 40% of open globe ocular traumas. Here is a 32 years-old patient diagnosed with open globe ocular trauma in zone I, with intraocular foreign body in his right eye resulting from the cleaning of a cable without using the protection goggles. On the eye exam with the slit-lamp, an self-sealing injure was observed in zone I, transparent crystalline and trajectory of the foreign body in the vitreous. The indirect binocular ophthalmoscopy showed iron-type foreign body upon the retina in the macular area with edema, macular hole, occlusion of the inferior temporal artery and retina. The patient underwent ocular ultrasound, cranial X-ray, Spectral YTop con optic coherence tomography and color retinography to support the diagnosis. Twenty four hours after being received at the service, he was operated on through the pars plana vitrectomy plus extraction of the intraocular foreign body. Pars plana vitrectomy allows removing any vitreal opacity, accessing to repair other lesions, removing foreign bodies, either magnetic or not, by using tweezers or magnets, releasing the fibrous tissue, the hyaloids and repairing choroides and retina if there is an incarcerated foreign body, as well as reducing the bacterial load if the patient has endophthalmitis.

Keywords : ocular trauma; pars plana vitrectomy; intraocular foreign body.

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