Kalavar Meghana, Levitt Alexandra, Patel Nimesh A, Clauss Kevin, Fan Kenneth C, Yannuzzi Nicolas A, Berrocal Audina M
Department of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, 900 NW 17th Avenue, Miami, FL, 33136, USA.
J Vitreoretin Dis. 2021 Jan;5(1):68-71. doi: 10.1177/2474126420951987. Epub 2020 Sep 30.
A 13-year old male presented with bilateral intraocular foreign bodies (IOFBs) after a bullet struck his iPhone. The right eye vision was 20/50 and examination disclosed a limbal entry wound at 6:00, dense traumatic cataract, and vitreous hemorrhage. The left eye was 20/40 and an entry wound located roughly 4mm posterior to the limbus was noted. Fundoscopy revealed multiple refractile particles with pre-retinal and vitreous hemorrhage. CT scan demonstrated hyperdensities in the vitreous cavity bilaterally. Globe closure, cataract removal, vitrectomy, and endolaser were undertaken in the right eye, while only globe closure was performed in the left eye. On latest follow-up, the patient had 20/20 corrected vision without inflammation bilaterally. This case highlights challenges associated with the management of IOFBs of unknown material in a pediatric patient. A conservative approach led to full visual recovery, despite retained intraocular smartphone Gorilla glass.
一名13岁男性在其iPhone被子弹击中后出现双侧眼内异物（IOFBs）。右眼视力为20/50，检查发现6点方位有角膜缘入口伤口、致密外伤性白内障和玻璃体出血。左眼视力为20/40，发现角膜缘后约4mm处有一个入口伤口。眼底检查发现多个可折射颗粒，伴有视网膜前和玻璃体出血。CT扫描显示双侧玻璃体腔内有高密度影。右眼进行了眼球闭合、白内障摘除、玻璃体切除术和眼内激光治疗，而左眼仅进行了眼球闭合。在最近的随访中，患者双眼矫正视力均为20/20，且无炎症。该病例凸显了小儿患者未知材料眼内异物管理方面的挑战。尽管眼内残留有智能手机的大猩猩玻璃，但保守治疗方法仍使视力完全恢复。
