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Case Reports
. 2021 Sep 27;35(1):106-107.
doi: 10.1080/08998280.2021.1974261. eCollection 2022.

Traumatic intrachoroidal nail implantation

Aliza Epstein  1 , Natalie Homer  2 , Donovan Reed  1 , Ryan Young  3 , Vikram D Durairaj  1   4
Affiliations
Case Reports

Traumatic intrachoroidal nail implantation

Aliza Epstein et al. Proc (Bayl Univ Med Cent). .

Abstract

Penetrating globe injury can lead to serious vision loss and even loss of the eye. Intraocular foreign bodies (IOFBs) are a major cause of traumatic globe injury commonly seen in work-related accidents. We present a unique case of a large IOFB that was fully embedded within the choroid, where enucleation was pursued due to inability to safely remove the IOFB.

Keywords: Intraocular foreign body; ruptured globe; trauma.

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Figures

Figure 1.
Figure 1.
Face x-ray revealing a curvilinear foreign body within the left orbit.
Figure 2.
Figure 2.
Computed tomography of the orbit (a–d) revealing a curvilinear intraocular foreign body spanning the inferior hemisphere of the left globe.
Figure 3.
Figure 3.
Enucleated gross globe specimen showing (a) dense vitreous hemorrhage with curvilinear nail embedded entirely in the choroid, (b) coursing inferior to the optic nerve (arrow). (c) 2.5-cm nail following removal from the globe.
See this image and copyright information in PMC

References

    1. Loporchio D, Mukkamala L, Gorukanti K, et al. . Intraocular foreign bodies: a review. Surv Ophthalmol. 2016;61:582–596. doi:10.1016/j.survophthal.2016.03.005. - DOI - PubMed
    1. De Juan E, Sternberg P, Michels RG. Penetrating ocular injuries. Types of injuries and visual results. Ophthalmology. 1983;90:1318–1322. doi:10.1016/S0161-6420(83)34387-6. - DOI - PubMed
    1. Greven CM, Engelbrecht NE, Slusher MM, et al. . Intraocular foreign bodies: management, prognostic factors, and visual outcomes. Ophthalmology. 2000;107:608–612. doi:10.1016/S0161-6420(99)00134-7. - DOI - PubMed

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