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Endophthalmitis Secondary to Occult Intraocular Eyelashes Following Perforating Gunshot Injury: A Case Report

PURPOSE: This is a retrospective case report in which we describe our findings in two cases of endophthalmitis associated with perforating gunshot injury, in which we documented intraocular intrusion of multiple eyelashes as a plausible source of infection. PATIENTS AND METHODS: Two male patients, 2...

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Autores principales: Ghoraba, Hammouda Hamdy, Leila, Mahmoud, Ghoraba, Hashem H, Abdelfattah, Haithem Maamoun, Elgemai, Emad Eldin Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9661897/
https://www.ncbi.nlm.nih.gov/pubmed/36388242
http://dx.doi.org/10.2147/IMCRJ.S387929
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author Ghoraba, Hammouda Hamdy
Leila, Mahmoud
Ghoraba, Hashem H
Abdelfattah, Haithem Maamoun
Elgemai, Emad Eldin Mohamed
author_facet Ghoraba, Hammouda Hamdy
Leila, Mahmoud
Ghoraba, Hashem H
Abdelfattah, Haithem Maamoun
Elgemai, Emad Eldin Mohamed
author_sort Ghoraba, Hammouda Hamdy
collection PubMed
description PURPOSE: This is a retrospective case report in which we describe our findings in two cases of endophthalmitis associated with perforating gunshot injury, in which we documented intraocular intrusion of multiple eyelashes as a plausible source of infection. PATIENTS AND METHODS: Two male patients, 22 and 29 years old, respectively, presented with endophthalmitis following primary repair of rupture globe secondary to gunshot injury. Both patients had vitrectomy and silicone oil injection. Preoperative imaging and intraoperative findings confirmed the perforating nature of the projectile. RESULTS: In both patients, we detected eyelashes that were concealed either in the pars plana region or within vitreous exudates. Silicone oil was not removed in both patients to prevent phthisis bulbi and because there was no potential for visual improvement. The postoperative course in both cases was uneventful. CONCLUSION: Gunshot injuries can inoculate eyelashes impregnated with infectious microorganisms into the eye. In cases presenting with endophthalmitis associated with a gunshot injury, we recommend meticulous examination of the posterior segment and the pars plana region during vitrectomy to exclude the presence of occult lashes.
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spelling pubmed-96618972022-11-15 Endophthalmitis Secondary to Occult Intraocular Eyelashes Following Perforating Gunshot Injury: A Case Report Ghoraba, Hammouda Hamdy Leila, Mahmoud Ghoraba, Hashem H Abdelfattah, Haithem Maamoun Elgemai, Emad Eldin Mohamed Int Med Case Rep J Case Series PURPOSE: This is a retrospective case report in which we describe our findings in two cases of endophthalmitis associated with perforating gunshot injury, in which we documented intraocular intrusion of multiple eyelashes as a plausible source of infection. PATIENTS AND METHODS: Two male patients, 22 and 29 years old, respectively, presented with endophthalmitis following primary repair of rupture globe secondary to gunshot injury. Both patients had vitrectomy and silicone oil injection. Preoperative imaging and intraoperative findings confirmed the perforating nature of the projectile. RESULTS: In both patients, we detected eyelashes that were concealed either in the pars plana region or within vitreous exudates. Silicone oil was not removed in both patients to prevent phthisis bulbi and because there was no potential for visual improvement. The postoperative course in both cases was uneventful. CONCLUSION: Gunshot injuries can inoculate eyelashes impregnated with infectious microorganisms into the eye. In cases presenting with endophthalmitis associated with a gunshot injury, we recommend meticulous examination of the posterior segment and the pars plana region during vitrectomy to exclude the presence of occult lashes. Dove 2022-11-10 /pmc/articles/PMC9661897/ /pubmed/36388242 http://dx.doi.org/10.2147/IMCRJ.S387929 Text en © 2022 Ghoraba et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Series
Ghoraba, Hammouda Hamdy
Leila, Mahmoud
Ghoraba, Hashem H
Abdelfattah, Haithem Maamoun
Elgemai, Emad Eldin Mohamed
Endophthalmitis Secondary to Occult Intraocular Eyelashes Following Perforating Gunshot Injury: A Case Report
title Endophthalmitis Secondary to Occult Intraocular Eyelashes Following Perforating Gunshot Injury: A Case Report
title_full Endophthalmitis Secondary to Occult Intraocular Eyelashes Following Perforating Gunshot Injury: A Case Report
title_fullStr Endophthalmitis Secondary to Occult Intraocular Eyelashes Following Perforating Gunshot Injury: A Case Report
title_full_unstemmed Endophthalmitis Secondary to Occult Intraocular Eyelashes Following Perforating Gunshot Injury: A Case Report
title_short Endophthalmitis Secondary to Occult Intraocular Eyelashes Following Perforating Gunshot Injury: A Case Report
title_sort endophthalmitis secondary to occult intraocular eyelashes following perforating gunshot injury: a case report
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9661897/
https://www.ncbi.nlm.nih.gov/pubmed/36388242
http://dx.doi.org/10.2147/IMCRJ.S387929
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