title: Combination management by C-arm fluoroscopy and extraocular muscle severance for penetrating ocular trauma with a retrobulbar foreign body.
abstract: We report here the successful removal of a retrobulbar metallic foreign body in a patient with penetrating ocular trauma by a transconjunctival approach and combination management with C-arm fluoroscopy and extraocular muscle severance. A 37-year-old man sustained a penetrating injury to the right eye while using an iron hammer. Initial slitlamp examination revealed a corneoscleral laceration, iridocele, anterior chamber collapse, and a traumatic cataract. Visual acuity in the right eye was limited to the perception of hand motion. Computed tomography revealed an orbital foreign body in the retrobulbar area. The patient underwent corneoscleral suturing, severance of extraocular muscles, removal of the foreign body with guidance by C-arm fluoroscopy, pars plana lensectomy, and pars plana vitrectomy. Combination management with C-arm fluoroscopy and extraocular muscle severance may thus be a suitable approach to the removal of a retrobulbar metallic foreign body.
authors.affiliation: a Department of Ophthalmology , Yamaguchi University Graduate School of Medicine , Ube City Yamaguchi , Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Hatano
authors.affiliation: a Department of Ophthalmology , Yamaguchi University Graduate School of Medicine , Ube City Yamaguchi , Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Kimura
authors.affiliation: b Department of Ophthalmology , Tokuyama Central Hospital, Shu-nan City , Yamaguchi , Japan.
authors.forename: Norimasa
authors.initials: N
authors.lastname: Nomi
authors.affiliation: a Department of Ophthalmology , Yamaguchi University Graduate School of Medicine , Ube City Yamaguchi , Japan.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Teranishi
authors.affiliation: a Department of Ophthalmology , Yamaguchi University Graduate School of Medicine , Ube City Yamaguchi , Japan.
authors.forename: Tomoko
authors.initials: T
authors.lastname: Orita
authors.affiliation: c Fujitsu Eye Clinic, Ube City , Yamaguchi , Japan.
authors.forename: Youichiro
authors.initials: Y
authors.lastname: Fujitsu
authors.affiliation: a Department of Ophthalmology , Yamaguchi University Graduate School of Medicine , Ube City Yamaguchi , Japan.
authors.forename: Koh-Hei
authors.initials: KH
authors.lastname: Sonoda
mesh_terms: D000328:Adult; D065306:Corneal Injuries / Q000601:surgery; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging / Q000601:surgery*; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008670:Metals; D009801:Oculomotor Muscles / Q000000981:diagnostic imaging / Q000601:surgery*; D009915:Orbit / Q000293:injuries*; D012590:Sclera / Q000293:injuries; D014057:Tomography, X-Ray Computed
chemical_list: D008670:Metals
keywords: Double perforation; extraocular muscle surgery; fluoroscopy; penetrating injury; retrobulbar foreign body