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Occult plastic intraocular foreign body.

J S Duker1, D H Fischer

  • 1Retina Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107.

Ophthalmic Surgery
|March 1, 1989
PubMed
Summary
This summary is machine-generated.

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Even with negative imaging, a polyvinyl chloride (PVC) intraocular foreign body caused severe inflammation. Prompt removal of the PVC material resolved the posttraumatic uveitis, highlighting the need for high suspicion in ocular trauma cases.

Area of Science:

  • Ophthalmology
  • Trauma Surgery
  • Medical Imaging

Background:

  • Posttraumatic endophthalmitis is a severe intraocular infection following eye injury.
  • Diagnostic imaging like CT scans and ultrasonography are crucial for identifying intraocular foreign bodies.

Observation:

  • A 34-year-old male presented with endophthalmitis and hypopyon after ocular trauma.
  • Initial CT and B-scan ultrasonography did not reveal an intraocular foreign body.
  • A polyvinyl chloride (PVC) foreign body was discovered during vitrectomy.

Findings:

  • The patient developed atypical posttraumatic uveitis.
  • Inflammation resolved rapidly after surgical removal of the PVC foreign body.
  • The PVC material was identified as the cause of the uveitis.

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Implications:

  • This case underscores the importance of clinical suspicion for intraocular foreign bodies in trauma patients, even with negative imaging.
  • Ophthalmologists should consider less common materials like PVC when evaluating posttraumatic uveitis.
  • Prompt surgical intervention and foreign body removal are critical for managing posttraumatic endophthalmitis and uveitis.