• Title/Summary/Keyword: Eye foreign bodies

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Unrecognized intraorbital wooden foreign body

  • Kim, Young Ho;Kim, Hyonsurk;Yoon, Eul-Sik
    • Archives of Craniofacial Surgery
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    • v.19 no.4
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    • pp.300-303
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    • 2018
  • Intraorbital wooden foreign bodies may present difficulties in diagnosis due to their radiolucent nature. Delayed recognition and management can cause significant complications. We present a case report that demonstrates these problems and the sequela that can follow. A 56-year-old man presented with a 3-cm laceration in the right upper eyelid, sustained by a slipping accident. After computed tomography (CT) scanning and ophthalmology consultation, which revealed no fractures and suggested only pneumophthalmos, the wound was repaired by a plastic surgery resident. Ten days later, the patient's eyelid displayed signs of infection including pus discharge. Antibiotics and revisional repair failed to solve the infection. Nearly 2 months after the initial repair, a CT scan revealed a large wooden fragment in the superomedial orbit. Surgical exploration successfully removed the foreign body and inflamed pocket, and the patient healed uneventfully. However, the prolonged intraorbital infection had caused irreversible damage to the superior rectus muscle, with upgaze diplopia persisting 1 year after surgery and only minimal muscle function remaining. We report this case to warn clinicians of the difficulties in early diagnosis of intraorbital wooden foreign bodies and the grave prognosis of delayed management.

Rehabilitation of an Amur Leopard Cat (Prionailurus bengalensis) with Complex Injury by a Road Accident

  • Sungryong Kim;Sungin Lee;Ok-Joo Lim;Ki-Jeong Na;Dong-Hyuk Jeong
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.411-416
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    • 2022
  • A 2.2 kg adult female Amur leopard cat (Prionailurus bengalensis) injured in a road accident was rescued. Severe abrasions on the left chin were washed daily with an antiseptic and silver sulfadiazine ointment was applied. Corneal edema of the oculus sinister (OS) was treated with ofloxacin and 5% sodium chloride eye drops. The skin wounds gradually improved, but the eye condition did not improve and the lens was also found to be detached. In addition, on the 6th day of hospitalization, melena was observed. On radiographic examination, foreign bodies in the stomach and a fracture of the sternum were confirmed. Subsequently, endoscopic removal of foreign bodies and enucleation of the OS using an electrothermal vessel sealer were performed sequentially over several days. However, corrective surgery of the fractured sternum was not carried out because a natural union of the fracture had occurred, which was found to be fairly stable. The patient completely recovered on the 83rd day and was successfully released into the wild on the 97th day, after two weeks of adaptation training in a natural environment. This report describes the rehabilitation of a wild Amur leopard cat injured in a road accident through a series of diagnostic and treatment steps until its eventual return to the wild and highlights some improvements needed in the process.

Intraocular Foreign Body Entering the Anterior Chamber Through the Mouth: A Case Report

  • Kim, Joon-Young;Kim, Kyung-Hee;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.34 no.1
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    • pp.58-60
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    • 2017
  • An 11-year-old, castrated Maltese dog presented with a 3-week history of periocular swelling, epiphora, and intermittent strabismus. On examination, a foreign body was observed in the anterior chamber, along with orbital cellulitis. Severe gingivitis and plaque accumulation were also diagnosed. The foreign body was surgically removed, and dental prophylaxis and dental extraction were performed. The foreign body entrance could not be found intraoperatively, and the foreign body, later identified as a feather, was removed through a clear corneal incision. The right maxillary molar, which had periodontal inflammation, was also extracted. One day postoperatively, severe hypopyon developed, although the periocular swelling was reduced. These signs persisted despite topical and systemic antibiotic and anti-inflammatory therapy; therefore, the right eye was enucleated 1 week later. Intraoperatively, a fistula was found connecting the orbital medial wall, right maxillary molar root, and sclera. The fistula entered the dorsomedial sclera approximately 7 mm behind the limbus. Enterobacteria were cultured from the area. Foreign bodies can enter the anterior chamber not only through the cornea, but also through the mouth. Therefore, when the entry point cannot be found in the cornea, a careful dental examination is required, and the foreign body must be removed through the sclera rather than the cornea.

Clinical Analysis of Ocular Trauma Induced by Lawn Trimmers (예초기에 의한 안 외상 환자의 임상적 고찰)

  • Kang, In-Gu;Park, Cheol-Sang;Ryu, Hyun-Sik;Heo, Sok-Jin;Chae, Youn-Sok;Kim, Hyun-Jin;Park, Seong-Soo;Lee, Mi-Jin;Jeong, Won-Joon
    • Journal of Trauma and Injury
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    • v.24 no.2
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    • pp.61-67
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    • 2011
  • Purpose: Lawn trimmers are widely used to cut the weeds around graves in South Korea, but they can cause ocular injury. We investigate at the emergency room the incidence and the clinical features of ocular trauma induced by lawn trimmers. Methods:The authors analyzed 106 patients who visited Konyang University Hospital's emergency room from March 1, 2007, to October 31, 2011, because of ocular trauma caused by a lawn trimmer. Patients were sorted into two groups, severe ocular injury and mild ocular injury. Results: Over a 5-year period, 106 patients with ocular trauma caused by a lawn trimmer underwent clinical study. Most of the patient (103 patients) were males, and the average age of the patients was $51.75{\pm}11.66$ years. The incidence of ocular trauma peaked in the sixth decade of life. Most injuries occurred between July and September. Severe ocular injury developed in 46.2% of all patients. As age increased, so did the severity of the ocular injury. The impacting object was a small stone in 43.4% of all patients. Nobody wore protective gear. The most common diagnosis were corneal abrasion, followed by intraocular foreign body, corneal laceration, and sclera laceration. Fifty-four patients were followed up, and thirty-six patients of them had severe injury. The most common complication was a traumatic cataract. Conclusion: Ocular trauma induced by a lawn trimmer is more severe than general ocular trauma. We suggest that everyone using a lawn trimmer should wear protective gear and follow safety guidelines.

Conservation and Archaeological Analysis of Huo Quan Coins Excavated from Tomb No. 4 at the Madeung Archeological Site in Heukcheon-ri, Haenam (해남 흑천리 마등 4호 토광묘 출토 화천의 보존처리와 고고학적 분석)

  • Kim, Midori;Jo, Yeontae;Yi, yangsu
    • Conservation Science in Museum
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    • v.24
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    • pp.37-54
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    • 2020
  • This paper presents an archaeological interpretation of the results of conservation treatment and scientific analysis of the ancient Chinese bronze coin known as Huo Quan(貨泉) coins excavated from Tomb No. 4 at the Madeung Archaeological Site in Heukcheon-ri, Haenam. Huo Quan coins were issued in China by Wang Mang(王莽) when he founded the short-lived Xin(新) Dynasty and were used in the Samhan(三韓) period in Korea. A total of thirteen Huo Quan coins were excavated from the Madeung Archeological Site with some coins fused to each other. They were classified as clusters A, B, and C. On a coin from the B cluster the classical Chinese characters "貨泉" are visible to the naked eye, but no characters are visually identifiable in the other coins. For conservation treatment, foreign substances attached to the surfaces of the coins were removed, weak materials were reinforced with protective coatings, and fragments were reattached to the main bodies of the coins. Next, Nano CT scanning was conducted to identify the exact number of coins within the clusters and examine the surface condition of the coins. It revealed the inscription "貨泉" on twelve out of thirteen coins. In addition to these coins excavated from Heukcheon-ri, a number of coins were excavated from a tomb in Bokryong-dong, Gwangju. This necessitates an investigation into the possible development of a monetary economy in this region.