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Royal Victoria hospital, Belfast, Northern Ireland; tanya.moutray@btopenworld.com
Received for publication 21 September 2005.Keywords: foreign body; intraocular; eye; injury; perforating
| The first 150 words of the full text of this article appear below. |
A 27 year old male presented to casualty with blurred vision in the right eye after grinding metal with a rotatory mechanical brush. On examination the vision in the right eye was 6/36 and the conjunctiva was injected. A tiny subconjunctival discolouration raised the suspicion of a puncture wound (fig 1
) and an orbital x ray (fig 2) revealed an intraocular foreign body. The patient was urgently referred for surgical removal of the foreign body by vitrectomy. This case highlights the need to be aware of the risk of penetrating trauma in patients with a history of grinding hard objects, particularly metal, even when the physical findings are minimal.
[in a new window] Figure 1 A tiny subconjunctival discolouration raises the suspicion of a puncture wound (written consent from the patient was obtained for publication of this image)
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Figure 2 Orbital x ray reveals an intraocular foreign body (written consent from the patient was obtained for | |||||||||
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