content top

Should an Intraocular Metallic Foreign Body Embedded in the Macula Area be Removed?

ABSTRACT Background & Objective: As a general rule, removal of an intraocular foreign body (IOFB) is recommended at the time of repair of the entry site, because the inflammation caused by the IOFB can make surgical removal more difficult later. This is especially true in the case of metal foreign objects. However, if the foreign body is positioned near the macula, there is a high possibility of macular damage during its removal. We...

Read More

Retinal Trauma: A Medical Approach

ABSTRACT Traumatic events that happen in the retina present a challenging scenario. A case where a spring hitting the eye caused a coup contre coup effect on the macula: subretinal bleed, macular Edema and vitreous reaction in an intact eye. Vision was down to counting fingers upon first consultation, in succeeding weeks, vision started to improve such that by one month, vision was back to 20/20. Treatment was medical as well as laser. I...

Read More

Combined 23-gauge Vitreoretinal Surgery for Severe Ocular Injury with NLP

ABSTRACT Purpose: To evaluate the effects of treatment of severe ocular injury with NLP by 23-gauge vitreoretinal surgery, and to analyze the relevant factors. Methods: Twenty-one eyes of 21 patients with severe ocular injuries were involved in this study. All injured eyes with large ruptures with lens dislocation and vitreous loss together with choroidal and retinal detachment, vitreous hemorrhage, suprachoroidal hemorrhage and...

Read More

Copper Intraocular Foreign Body: Diagnosis and Treatment and Early Detection and Management of Copper IOFB

ABSTRACT Copper intraocular foreign bodies (IOFB) are relatively common after penetrating eye injuries. Ocular signs and symptoms vary greatly in relation to the copper content, ranging from chronic uveitis and severe visual loss for IOFB containing more than 85% copper, to local copper deposits with no severe ocular damage for less toxic alloys. Reported here is the case of a nine-year-old boy who suffered perforating eye injury due to...

Read More

Scleral Buckling for Severe Posttraumatic Hypotony: New Therapeutic Approach for Traumatic Ciliochoroidal Detachment Consequences

ABSTRACT Purpose: Traumatic 360° or anular ciliochoroidal detachment (ACCD) asociated with cyclodialysis cleft (CC) produces ocular hypotony (OH). OH below 10 mmHg, reduces visual acuity due to hypotonic maculopathy (HM). Severe ocular hypotony (SH), below 5 mmHg, can progress to phthisis bulbis due to diffuse choroidal detachment. Treatments for ACCD asociated with CC have shown discouraging results on the literature opposite to when...

Read More

Longterm Results of Surgery on Eyes with Siderosis Bulbi

ABSTRACT Presenting a series of 6 eyes presenting with severe Siderosis Bulbi due to undiagnosed retained metallic intraocular foreign bodies. All eyes had all the clinical features of siderosis both in the anterior and posterior segments with widespread retinal pigment epithelium atrophy and vitritis. The vision at presentation was very poor ranging from hand motion to perception of light. Phacoemulsification combined with pars plana...

Read More
content top