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Acute aseptic panophthalmitis caused by a copper foreign body
V Mićović1, S Milenković, M Oprić
1Universitäts-Augenklinik, Yugoslawien.
Fortschritte Der Ophthalmologie : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|January 1, 1990
Summary
A severe eye injury from dynamite caused panophthalmitis and vision loss. Histochemical analysis confirmed a copper foreign body, necessitating enucleation.
Area of Science:
- Ophthalmology
- Toxicology
- Materials Science
Background:
- Eye injuries from explosions can lead to severe complications.
- Early diagnosis and intervention are critical for preserving vision.
Observation:
- A 10-year-old boy presented with amaurosis and panophthalmitis post-dynamite explosion eye injury.
- Clinical signs included proptosis, limited eye movement, hypopyon, and intense pain.
- Ultrasonography revealed total retinal detachment.
Findings:
- Histochemical analysis showed purulent exudation in ocular tissues.
- Rubeanic acid staining indicated the presence of copper.
- Electrogravimetry identified the foreign body as 94% copper, approximately 40 mm2.
Implications:
- This case highlights the severe intraocular damage caused by explosive eye injuries.
- Copper foreign bodies can induce significant ocular inflammation and toxicity.
- Prompt identification and removal of metallic intraocular foreign bodies are crucial.