John S. King, MD » Intraocular Eyelash

Jan 2 2019 by John S. King, MD

34-year-old white male injured while taking apart wooden pallets with a hammer in each hand and no protective eye-wear; he did not notice what hit his eye; just said his eye hurt and teared for four days before calling an eye doctor; his vision was 20/400 sc and IOP 6; the anterior chamber was deep with minimal cell and no hypopyon; and conjunctival/scleral laceration was present near the lateral rectus insersion; the vitreous was quiet; in the temporal portion of the fundus and full thickness laceration was seen with surrounding hemorrhage and what appeared to be an eyelash vs other (possibly a staple, from the wooden pallet). During surgery 2 eyelashes were pulled from the area of the laceration; the lateral rectus muscle was disorganized; after primary closure, a ppv was performed, the object in the picture was removed with forcepts; laser partial afx and gas; antibiotics injected at 1/2 dose.

Photographer: Maisee Yang

Imaging device: Optos CA

Condition/keywords: intraocular foreign body, ruptured globe

Jan 2 2019 by John S. King, MD

34-year-old white male injured while taking apart wooden pallets with a hammer in each hand and no protective eye-wear; he did not notice what hit his eye; just said his eye hurt and teared for four days before calling an eye doctor; his vision was 20/400 sc and IOP 6; the anterior chamber was deep with minimal cell and no hypopyon; and conjunctival/scleral laceration was present near the lateral rectus insersion; the vitreous was quiet; in the temporal portion of the fundus and full thickness laceration was seen with surrounding hemorrhage and what appeared to be an eyelash vs other (possibly a staple, from the wooden pallet). During surgery 2 eyelashes were pulled from the area of the laceration; the lateral rectus muscle was disorganized; after primary closure, a ppv was performed, the object in the picture was removed with forcepts; laser partial afx and gas; antibiotics injected at 1/2 dose.

Photographer: Maisee Yang

Imaging device: Optos CA

Condition/keywords: intraocular foreign body, ruptured globe