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The hammer and the eye: beware.

A Elkington, J J Kanski

    British Medical Journal
    |January 20, 1973
    PubMed
    Summary
    This summary is machine-generated.

    Even if an eye appears normal, a hidden foreign body in the anterior chamber is possible. Prompt diagnosis with X-rays and surgery is crucial for good outcomes in eye injuries.

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    Area of Science:

    • Ophthalmology
    • Ophthalmic Surgery
    • Medical Imaging

    Background:

    • Ocular foreign bodies can present deceptively, with a normal-appearing eye.
    • Patient history alone may be insufficient for diagnosis.

    Purpose of the Study:

    • To highlight the importance of considering intraocular foreign bodies.
    • To emphasize diagnostic and surgical management strategies.

    Main Methods:

    • Case series reporting on patients with anterior chamber foreign bodies.
    • Diagnostic imaging, specifically X-rays, was utilized.
    • Surgical intervention was performed.

    Main Results:

    • A normal ocular appearance does not exclude an intraocular foreign body.

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  • X-rays are essential when foreign bodies are suspected, especially with specific injury mechanisms (e.g., hammer use).
  • Timely diagnosis and surgical repair correlate with positive patient outcomes.

    • Conclusions:

    • Ocular foreign bodies require a high index of suspicion.
    • Radiographic imaging is vital for diagnosis.
    • Prompt surgical management improves prognosis for ocular foreign body injuries.