Glass piece in the retina after road traffic accident: to remove or not to remove
Journal Title: Scholars Journal of Medical Case Reports - Year 2015, Vol 3, Issue 9
Abstract
A 7-month-old infant was brought to the Eye Clinic when his mother noticed peripheral cornea opacity 2 weeks after a road traffic accident. The accident involved a collision between two vehicles, and the windscreen of the car that the child was travelling in shattered while he was held by his mother at the front passenger seat. He was not brought to any medical attention initially as there were no obvious injuries noted. Examination revealed an intact right globe and a quiet anterior chamber. Fundus examination of the right eye showed a glass piece lodged between the optic disc and fovea. As there were no complications noted, it was managed conservatively at first. However, as the child gained increasing mobility and there was development of cataract, a decision was made to perform lens aspiration and vitrectomy to remove the glass piece. Intraoperative, a retinal tear was noted inferotemporally. Cyrotherapy and endo laser were performed to secure the area around the retinal tear. 8 months after the first surgery, a secondary lens implant was implanted. Intensive visual rehabilitation was prescribed and the toddler continued to be under regular follow-ups. Keywords: Glass, intraocular, foreign body, vitrectomy, trauma.
Authors and Affiliations
Tan Pek Hwi, Choo Swee Ying, Sunder Ramasamy, Jamalia Rahmat, Joseph Alagaratnam, Teh Wee Min
Keywords
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