Occult open globe injury in a patient with corneal foreign body: a case report.
OBJECTIVE
To demonstrate the role of ultrasonographic biomicroscopy in diagnosing occult open globe injury.


METHODS
A 50-year old man presented with a 2-day history of a corneal foreign body caused by a missile injury. Slit lamp biomicroscopy showed an intrastromal corneal foreign body measuring 0.7 x 0.7 mm, situated at the visual axis. Seidel test was negative. Full thickness corneal penetration could not be ruled out and an ultrasonographic biomicroscopy examination was subsequently performed.


RESULTS
Ultrasonographic biomicroscopy revealed a probable full thickness corneal penetration. The patient was diagnosed with penetrating corneal injury.


CONCLUSIONS
Ultrasonographic biomicroscopy has an important role in the diagnosis of occult open globe injury.
Kah
Tan Aik
TA
Department of Ophthalmology, Hospital Umum Sarawak, Malaysia. portwinestain@hotmail.com
Salowi
Mohamad Aziz
MA
Tagal
Julian Matius
JM
Thanaraj
Asokumaran
A
Premsenthil
Mallika
M
Gudom
Intan ak
Ia
D000287:Administration, Topical; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000890:Anti-Infective Agents / Q000008:administration & dosage; D002939:Ciprofloxacin / Q000008:administration & dosage; D003315:Cornea / Q000000981:diagnostic imaging; D003319:Corneal Stroma / Q000000981:diagnostic imaging; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000150:complications* / Q000000981:diagnostic imaging* / Q000503:physiopathology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D011182:Postoperative Care; D013256:Steroids / Q000008:administration & dosage; D014792:Visual Acuity
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D013256:Steroids; D002939:Ciprofloxacin