Sorrentino S, Marsella L T, Feola A, Marino V, Billi B
Department of Ophthalmology, University of Rome "Campus Bio-Medico", Rome, Italy, E-mail:
Legal Medicine and Social Security Services, Department of Biomedicine and Prevention, University of Rome "Tor Vergata", Rome, Italy.
West Indian Med J. 2015 May 13;65(2):391-394. doi: 10.7727/wimj.2014.142.
Ocular trauma is the leading cause of acquired monocular blindness, accounting for 1.97-6% of such cases. Particularly, penetrating ocular injuries are among the most common eye injuries with this kind of outcome. Early diagnosis and prompt management are crucial to avoid complications, and the especially dreaded enucleation. In this article, the authors describe the clinical management, and evaluate the visual and anatomical results obtained in a case of ocular injury with retained intraocular foreign body (IOFB) in a 20-year old female patient. The course of treatment involved a combination of penetrating keratoplasty with a temporary keratoprosthesis, phacoemulsification with intraocular lens implantation and pars plana vitrectomy. At three years from the initial injury, the patient was able to count fingers at 30 centimetres and anatomical of the globe had been achieved.
