[Surgical treatment of eye wounds with retinochoroidal metal foreign bodies. Apropos of 6 cases].
Six cases of intra-ocular metallic foreign bodies located into the retino-choroidal wall are presented. A surgical treatment was performed, and included a vitrectomy, a foreign body extraction with intraocular forceps, a primary or a secondary scleral buckling for the peripheral wound, and a retino-choroidectomy for one of the posteriorly located foreign bodies. In all the cases, we observed a cicatricial retraction of the retino-choroidal wound. When the wound was peripheral, the retina detached in the cases without buckling and it was necessary to do a secondary scleral buckling procedure. When the wound was located at the posterior pole, the retina remained flat in one case, with a 6 mm metallic body, probably because of the relaxing retinotomy performed to extract the foreign body. We think that it is better to perform a primary scleral buckle of the peripheral wounds. The various aspects of the treatment are discussed.
Furia
M
M
Clinique Ophtalmologique de l'Hôpital Cochin, Paris.
Hamard
H
H
Lautier
M
M
Fayet
B
B
Pouliquen
Y
Y
Parent
H
H
Campinchi
R
R
D000328:Adult; D002648:Child; D002829:Choroid / Q000293:injuries*; D005129:Eye Foreign Bodies / Q000601:surgery*; D006801:Humans; D008297:Male; D008670:Metals; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D011379:Prognosis; D012160:Retina / Q000293:injuries*; D012163:Retinal Detachment / Q000517:prevention & control
D008670:Metals
Traitement chirurgical des plaies du globe avec corps étrangers métalliques rétino-choroïdiens. A propos de six cas.