Retrieval of deep corneal stromal wooden foreign body using vitreoretinal foreign body forceps as scoop: An innovative technique.
Journal
Indian journal of ophthalmology
ISSN: 1998-3689
Titre abrégé: Indian J Ophthalmol
Pays: India
ID NLM: 0405376
Informations de publication
Date de publication:
01 Dec 2023
01 Dec 2023
Historique:
received:
25
03
2023
accepted:
18
07
2023
medline:
23
11
2023
pubmed:
22
11
2023
entrez:
22
11
2023
Statut:
ppublish
Résumé
A 55-year-old woman presented with a stromal wooden foreign body (FB) in the left cornea. The deep corneal stroma wooden FB was removed using vitreoretinal FB forceps as a scoop. In this innovative technique, a 26-gauge needle was used to open the track of the wooden FB. The FB was trapped in the concavity of one limb of the vitreoretinal FB forceps. The vitreoretinal forceps were gradually withdrawn and the FB was removed. The patient was treated with gatifloxacin and voriconazole six times, and atropine 1% three times daily. The patient did not develop infiltrate or hypopyon in 2 weeks. After 2 weeks, gatifloxacin and voriconazole were reduced to four times a day; and atropine to two times a day. After 6 weeks topical medication was stopped. The patient achieved a best-corrected visual acuity (OS) of 6/9 at 8 weeks and maintained it through 7 months of follow-up.
Identifiants
pubmed: 37991311
doi: 10.4103/IJO.IJO_801_23
pii: 02223307-202371120-00027
doi:
Substances chimiques
Gatifloxacin
L4618BD7KJ
Voriconazole
JFU09I87TR
Atropine Derivatives
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3718-3720Informations de copyright
Copyright © 2023 Copyright: © 2023 Indian Journal of Ophthalmology.
Références
Gumus K, Karakucuk S, Mirza E. Corneal injury from a metallic foreign body: An occupational hazard. Eye Contact Lens 2007;33:259–60.
Smolin G, Thoft RA. The Cornea Scientific Foundation and Clinical Practice. 1st ed. New York: Little, Brown and Company; 1994. p. 605–33.
Rosli AH, Abdurrahman MY, Mohd Kamal K. Deeply embedded corneal foreign bodies with fungal keratitis secondary to rambutan fruit fall. Cureus 2022;14:e22413.
Sharma A, Sharma R. Removal of full-thickness vertical corneal stromal wooden foreign bodies: An innovative ab-interno technique. Indian J Ophthalmol 2021;69:971–3.
Sharma A. Commentary: Anterior segment optical coherence tomography characteristics and management of unique spectrum of foreign bodies in cornea and anterior chamber. Indian J Ophthalmol 2022;70:4293–4.
Armarnik S, Mimouni M, Goldenberg D, Segev F, Meshi A, Segal O, et al. Characterization of deeply embedded corneal foreign bodies with anterior segment optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 2019;257:1247–52.
Bhargava M, Bhambhani V, Paul RS. Anterior segment optical coherence tomography characteristics and management of a unique spectrum of foreign bodies in the cornea and anterior chamber. Indian J Ophthalmol 2022;70:4284–92.
Au YK, Libby C, Patel JS. Removal of a corneal foreign body through a lamellar corneal pocket. Ophthalmic Surg Lasers 1996;27:471–2.
Duan H, Yan S. Clinical efficacy of surgical removal of deep corneal plant foreign bodies. Eye Sci 2013;28:30–3.