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Bilateral intraocular foreign bodies simulating crystalline lens
Curtis L Hagedorn1, Shachar Tauber, Ron A Adelman
1Department of Ophthalmology and Visual Science, Yale University Eye Center, 330 Cedar Street, New Haven, CT 06520, USA. seetness@hotmail.com
American Journal of Ophthalmology
|July 6, 2004
Summary
Large bilateral intraocular foreign bodies were mistaken for the crystalline lens on computed tomography (CT) scans after a motor vehicle accident. Prompt surgical intervention was required to remove the glass fragments and prevent further vision loss.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Motor vehicle accidents can cause severe ocular trauma.
- Computed tomography (CT) is a crucial imaging modality in diagnosing intraocular foreign bodies.
Observation:
- A 24-year-old male presented with bilateral open globe injuries post-motor vehicle accident.
- Preoperative CT scans misidentified large bilateral intraocular glass foreign bodies as dislocated crystalline lenses.
Findings:
- Surgical removal of a 7x5x5 mm glass foreign body from the left crystalline lens.
- Removal of a 6x5x5 mm glass foreign body from the right eye, followed by retinal detachment repair and corneal grafting.
Implications:
- Glass fragments from auto accidents can mimic the lens on CT, necessitating careful radiological review.
- Higher radiodensity of glass compared to the lens on CT is a key diagnostic feature.
- Timely surgical intervention is critical for preserving vision in cases of intraocular foreign bodies.