Cargando…
Conservative management of penetrating ocular trauma caused by a nail gun
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...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040264/ https://www.ncbi.nlm.nih.gov/pubmed/30003177 http://dx.doi.org/10.1016/j.ajoc.2018.06.010 |
_version_ | 1783338824170995712 |
---|---|
author | Carral-Santander, Irving Enrique Acón-Ramírez, Dhariana Soberón-Ventura, Vidal Peñaranda-Henao, Carlos Felipe Wheelock-Gutiérrez, Lorena García-Aguirre, Gerardo |
author_facet | Carral-Santander, Irving Enrique Acón-Ramírez, Dhariana Soberón-Ventura, Vidal Peñaranda-Henao, Carlos Felipe Wheelock-Gutiérrez, Lorena García-Aguirre, Gerardo |
author_sort | Carral-Santander, Irving Enrique |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6040264 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-60402642018-07-12 Conservative management of penetrating ocular trauma caused by a nail gun Carral-Santander, Irving Enrique Acón-Ramírez, Dhariana Soberón-Ventura, Vidal Peñaranda-Henao, Carlos Felipe Wheelock-Gutiérrez, Lorena García-Aguirre, Gerardo Am J Ophthalmol Case Rep Case report 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. Elsevier 2018-06-20 /pmc/articles/PMC6040264/ /pubmed/30003177 http://dx.doi.org/10.1016/j.ajoc.2018.06.010 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case report Carral-Santander, Irving Enrique Acón-Ramírez, Dhariana Soberón-Ventura, Vidal Peñaranda-Henao, Carlos Felipe Wheelock-Gutiérrez, Lorena García-Aguirre, Gerardo Conservative management of penetrating ocular trauma caused by a nail gun |
title | Conservative management of penetrating ocular trauma caused by a nail gun |
title_full | Conservative management of penetrating ocular trauma caused by a nail gun |
title_fullStr | Conservative management of penetrating ocular trauma caused by a nail gun |
title_full_unstemmed | Conservative management of penetrating ocular trauma caused by a nail gun |
title_short | Conservative management of penetrating ocular trauma caused by a nail gun |
title_sort | conservative management of penetrating ocular trauma caused by a nail gun |
topic | Case report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040264/ https://www.ncbi.nlm.nih.gov/pubmed/30003177 http://dx.doi.org/10.1016/j.ajoc.2018.06.010 |
work_keys_str_mv | AT carralsantanderirvingenrique conservativemanagementofpenetratingoculartraumacausedbyanailgun AT aconramirezdhariana conservativemanagementofpenetratingoculartraumacausedbyanailgun AT soberonventuravidal conservativemanagementofpenetratingoculartraumacausedbyanailgun AT penarandahenaocarlosfelipe conservativemanagementofpenetratingoculartraumacausedbyanailgun AT wheelockgutierrezlorena conservativemanagementofpenetratingoculartraumacausedbyanailgun AT garciaaguirregerardo conservativemanagementofpenetratingoculartraumacausedbyanailgun |