CASE REPORT article
Front. Med.
Sec. Ophthalmology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1519711
Management of Multiple Non-Magnetic Intraocular and Intraorbital Foreign Bodies Following a Motor Vehicle Accident: A Case Report
Provisionally accepted
- Hebei Eye Hospital, Xingtai, China
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A 29-year-old male patient experienced sudden loss of vision, accompanied by bleeding and pain in his right eye, occurring just one day following a motor vehicle accident. During this incident, fragments from the windshield penetrated the eye. On initial examination, his visual acuity was determined to be at the level of hand motion, observed at a distance of 20 cm. A subsequent CT scan revealed an irregular contour of the right eyeball, suggesting the presence of possible intraocular foreign bodies (IOFBs), some of which appeared to be partially extending beyond the eye into the surrounding tissue (Figure 1). Owing to the urgency of the situation, emergency surgical intervention was promptly performed, during which two foreign bodies with a glass-like consistency were successfully removed from his eye. Thirteen days postoperatively, a follow-up CT scan indicated that some intraocular and intraorbital foreign bodies remained, necessitating a second surgical procedure. Following the removal of these retained objects, the patient underwent additional surgery to remove silicone oil and implantation of a scleral-fixated intraocular lens. Three months after the extensive surgical procedures, the patient's best-corrected visual acuity significantly improved, reaching a level of 0.2.
Keywords: Intraocular foreign body, Intraorbital foreign body, non-magnetic, Open globe injury, prognosis
Received: 30 Oct 2024; Accepted: 24 Apr 2025.
Copyright: © 2025 Han, Wang, Wen, Liu and Zhao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Shaolei Han, Hebei Eye Hospital, Xingtai, China
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