01 January 1999
Metallic foreign body in the optic nerve disc-two case reports
Zofia Mariak, Renata Zalewska, Jolanta Andrzejewska-Buczko, Ewa Proniewska-Skrętek, Andrzej StankiewiczMed Sci Monit 1999; 5(1): CS127-129 :: ID: 505273
Abstract
Background: Two case reports concerning a penetrating injury of the eyeball, with a metallic foreign body lodged in the optic nerve disc. Literature data from the past twenty years demonstrated only two such cases.
Material/Methods: Two men, aged 44 and 35 who suffered an eye injury with a metallic chip. The chip lodged itself deep in the optic nerve disc leading towards loss of vision. Electromagnetic traction proved to be unsuccessful. The removal of these foreign bodies by means of vitrectomy proved to be unsuccessful as well. Following 2-4 years these two patients underwent a follow-up examination. We performed an ophtalmological examination, system B and doppler ultrasound.
Results: In case 1, the damaged eye remained blind, while in case 2 the eye possessed light sensation without direction location. Case 1 presented with post-traumatic cataract and infundibular retinal detachment following vitreous body proliferations. Initial siderosis symptoms appeared. Case 2 presented with post-traumatic cataract (removed one month following the accident), without vision improvement. Near the optic disc-macular area we noticed a gliomatous proliferation. The ultrasound examination confirmed the presence of foreign bodies in the optic nerve. We noted no features of ophtalmophthisis.
Conclusions: In spite of absolute indications for the removal of a metallic foreign body from the eyeball (siderosis), treatment in some cases may be ineffective or impossible (deep localization of the foreign body). Siderosis and loss of vision are consequences of such an injury.
Keywords: Optic Nerve, intrabulbar foreign body
Editorial
01 May 2024 : Editorial
Editorial: First Regulatory Approval for Adoptive Cell Therapy with Autologous Tumor-Infiltrating Lymphocytes (TILs) – Lifileucel (Amtagvi)DOI: 10.12659/MSM.944927
Med Sci Monit 2024; 30:e944927
In Press
12 Mar 2024 : Clinical Research
Tissue Inhibitors of Metalloproteinase 1 (TIMP-1) and 3 (TIMP-3) as New Markers of Acute Kidney Injury Afte...Med Sci Monit In Press; DOI: 10.12659/MSM.943500
12 Mar 2024 : Review article
Optimizing Behçet Uveitis Management: A Review of Personalized Immunosuppressive StrategiesMed Sci Monit In Press; DOI: 10.12659/MSM.943240
12 Mar 2024 : Clinical Research
Metabolomic Alterations in Methotrexate Treatment of Moderate-to-Severe PsoriasisMed Sci Monit In Press; DOI: 10.12659/MSM.943360
14 Mar 2024 : Clinical Research
Renal Dysfunction Increases Risk of Adverse Cardiovascular Events in 5-Year Follow-Up Study of Intermediate...Med Sci Monit In Press; DOI: 10.12659/MSM.943956
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952