Eye trauma - post-penetrating injury repair

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Penetrating injury to right eye with globe laceration and surgical repair. Assess for detachment.

Patient Data

Age: 30 years
Gender: Unknown

Eye US

ultrasound

The anterior chamber is slightly flattened in shape with reduced AP diameter. Low-level internal echoes layer dependently in keeping with hyphema.

The lens is abnormal, flattened and containing low level internal echoes. The ciliary body along the nasal aspect of the eye is deficient and there is direct communication between the anterior and posterior chambers.

The posteromedial wall of the globe is irregular in contour, site of rupture and repair.

Low level internal echoes are present in the vitreous chamber. More solid appearing material is adherent to the posterior wall, likely blood clot.

Membrane extends from the ciliary body to the posteromedial wall of the globe, minimal after movements. Findings consistent with choroidal detachment.

No retinal detachment.

Case Discussion

Case illustrating the role of eye ultrasound in the setting of post-penetrating globe injury repair.

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