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Localisation of intrascleral foreign body by diaphanoscopy

Poster Details

First Author: S.Kivanc TURKEY

Co Author(s):    B. Akova                    

Abstract Details

Purpose:

To present a case with intrascleral foreignbody mimicking uveitis that was localised by diascleral illumination

Setting:

Uludag University, Department of Ophthalmology

Methods:

A 76 years old male presented with hyperemia and severe pain in his left eye for 3 days. He had a history of dust blown into his eyes. He had chemosis and anterior chamber flare and had no improvement with topical moxifloxacin.

Results:

Upon deterioration orbital computed tomography (CT) was ordered and CT scan   revealed a foreign body in vicinity of right medial rectus. During exploration no foreign body was detected at first glance. By diascleral illumination using an endoillumination probe, the exact localization of the foreign body was deliniated and the foreign body was removed through sclerotomy. After foreign body removal, the chemosis and inflammation subsided

Conclusions:

Although scleral foreign bodies can be detected by CT it may be diffucult to visualize them if they are embedded. Diascleral illumination may be very useful to localize them.

Financial Disclosure:

None

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