DR. DEVESH KUMAWAT

DR. RINKY AGARWAL, PROF.OM PRAKASH, DR. SARITA BERI

Abstract

Purpose- To demonstrate the management of perforation injury with intraorbital foreign body

Methods- 22-year male presented 3 days after hammer-chiesel injury with limbal wound, vitreous hemorrhage and foreign body on orbital radiograph. Following primary repair of entry wound, on USG and CT orbit, it was found to be perforation injury with metallic foreign body in mid orbit lateral to optic nerve. At 1 week, 25 gauge pars-plana vitrectomy was performed.

Results- After clearing vitreous haemorrhage at low infusion pressure, a linear exit wound was noted transecting infero-temporal arcade. 1 mm chorioretinectomy was done around exit wound using endodiathermy. Laser was done around wound and silicone oil was injected. At 3 months follow-up, BCVA was 6/60 with retina attached and some fibrosis developing at exit wound.

Conclusion- Early vitrectomy and chorioretinectomy decrease risk of retinal incarceration, proliferative vitreoretinopathy and retinal detachment in perforation injuries