The Size of the IOFB Not Always is Worse



The management of perforating globe injuries is complex to resolve due to multiple defects of the structures of the eye and because is associated with proliferative vitreoretinopathy.


A 43-year-old-man was referred for evaluation after ocular trauma in his right eye for being working with a chainsaw cutting wood.


His visual acuities were 20/20 in both eyes. Slit-lamp biomicroscopy was significant for nasal conjunctival chemosis in the right eye and unremarkable in the left eye. Dilated fundus examination revealed a nail in the nasal side of the right globe perforating its wall. Optic nerve and posterior pole (macula) conserved.

Anciliary Test:

CT showed a metallic particle perforating the globe and partly introduced in the posterior orbit.

My Surgery:

Globe exploration. Careful extraction of the nail under indirect binocular ophthalmoscopy visualization. Closure of scleral wound and conjunctival tissue. Postoperative: After 1 year of the trauma the patient conserved 20/20 in his right eye. Open globe injury in the nasal side healed by second intention. Although there was incarcerated vitreous in the posterior wound the retina remains attached.


Not always more is better.


Susana Lucila Cura
CABA Buenos Aires, Argentina
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Cell Phone: +5491150120254
Work Phone: +5491150120254