PMC3136175_01
Preoperative slit-lamp photographs, preoperative fundus photograph, preoperative computed tomographic image, and intraoperative photographs of intraocular foreign body (Case 1; (a, b, c), Case 2; (d, e, f)). (a) Preoperative slit-lamp photograph shows a slight penetrating wound in the iris and lens at the 9 o'clock position and a posterior subcapsular cataract at the same position. (b) Fundus photograph showing vitreous haemorrhage and retinal tear with subretinal haemorrhage located on the temporal side of the macula. Computed tomographic image showing a large foreign body. (c) Intraoperative fundus showing a large metallic intraocular foreign body anterior to the retina. (d) External photograph showing the penetrating wound at the 4 o'clock position and the corneal wound was closed by corneal sutures during the initial surgery. (e) Slit-lamp photograph showing that the posterior subcapsular cataract has progressed. (f) Intraoperative fundus photograph showing large glass intraocular foreign body anterior to the retina.
JOP2011-940323.001.jpg
PMC3136175_02_JOP2011-940323.001.jpg
fig1
A 21-year-old man presented with a 7-day-old corneal laceration at the 4 o'clock position of the left eye (Figure 1(d)). Slit-lamp examination showed a posterior subcapsular cataract (Figure 1(e)). Indirect ophthalmoscopy showed that the vitreous was clear, but there was a large glass-like object in the vitreous free from the retina (Figure 1(f)).
Intraoperative photographs and postoperative slit-lamp photographs of Case 1 (a, b, c) and Case 2 (d, e, f). (a) and (b) Metallic foreign body extracted through an anterior and posterior capsulorhexis, and corneal incision (triple C-through technique). (c) Slit-lamp photograph (inverted image as seen by the surgeon) 1 day postoperatively showing no need of suturing, no subconjunctival haemorrhage, and well-positioned intraocular lens. (d) and (e) Glass foreign body extracted through an anterior and posterior capsulorhexis, and corneal incision (triple C-through technique). (f) Slit-lamp photograph (inverted image as seen by the surgeon) 1 day postoperatively showing no need of suturing, except the original penetration wound, no subconjunctival haemorrhage and well-positioned intraocular lens.
JOP2011-940323.002.jpg
PMC3136175_02_JOP2011-940323.002.jpg
fig2
Thus, the foreign body was extracted through a posterior capsulorhexis, an anterior continuous curvilinear capsulorhexis, and the corneal incision (triple C-through technique; Figures 2(d) and 2(e)). All of the surgical wounds including that for the cataract surgery required no suturing (Figure 2(f)).
PMC3136175_02
Preoperative slit-lamp photographs, preoperative fundus photograph, preoperative computed tomographic image, and intraoperative photographs of intraocular foreign body (Case 1; (a, b, c), Case 2; (d, e, f)). (a) Preoperative slit-lamp photograph shows a slight penetrating wound in the iris and lens at the 9 o'clock position and a posterior subcapsular cataract at the same position. (b) Fundus photograph showing vitreous haemorrhage and retinal tear with subretinal haemorrhage located on the temporal side of the macula. Computed tomographic image showing a large foreign body. (c) Intraoperative fundus showing a large metallic intraocular foreign body anterior to the retina. (d) External photograph showing the penetrating wound at the 4 o'clock position and the corneal wound was closed by corneal sutures during the initial surgery. (e) Slit-lamp photograph showing that the posterior subcapsular cataract has progressed. (f) Intraoperative fundus photograph showing large glass intraocular foreign body anterior to the retina.
JOP2011-940323.001.jpg
PMC3136175_02_JOP2011-940323.001.jpg
fig1
A 21-year-old man presented with a 7-day-old corneal laceration at the 4 o'clock position of the left eye (Figure 1(d)). Slit-lamp examination showed a posterior subcapsular cataract (Figure 1(e)). Indirect ophthalmoscopy showed that the vitreous was clear, but there was a large glass-like object in the vitreous free from the retina (Figure 1(f)).
Intraoperative photographs and postoperative slit-lamp photographs of Case 1 (a, b, c) and Case 2 (d, e, f). (a) and (b) Metallic foreign body extracted through an anterior and posterior capsulorhexis, and corneal incision (triple C-through technique). (c) Slit-lamp photograph (inverted image as seen by the surgeon) 1 day postoperatively showing no need of suturing, no subconjunctival haemorrhage, and well-positioned intraocular lens. (d) and (e) Glass foreign body extracted through an anterior and posterior capsulorhexis, and corneal incision (triple C-through technique). (f) Slit-lamp photograph (inverted image as seen by the surgeon) 1 day postoperatively showing no need of suturing, except the original penetration wound, no subconjunctival haemorrhage and well-positioned intraocular lens.
JOP2011-940323.002.jpg
PMC3136175_02_JOP2011-940323.002.jpg
fig2
Thus, the foreign body was extracted through a posterior capsulorhexis, an anterior continuous curvilinear capsulorhexis, and the corneal incision (triple C-through technique; Figures 2(d) and 2(e)). All of the surgical wounds including that for the cataract surgery required no suturing (Figure 2(f)).