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Spontaneous Foreign Body Extrusion Following Perforating Eye Injury
  1. Mr RRA Bourne, BSc FRCOphth, Specialist Registrar1,
  2. Mr M Parulekar, FRCS, Clinical Fellow2,
  3. Miss AS Bacon, MA FRCS FRCOphth, Consultant3 and
  4. Major RE MacLaren, DPhil FRCS RAMC(V), Specialist Registrar4
  1. 1Moorfields Eye Hospital, London EC1V 2PD.
  2. 2Radcliffe Infirmary, Oxford OX2 6HE.
  3. 3Royal Berkshire Hospital, Reading RG1 5AN.
  4. 4Moorfields Eye Hospital, London EC1V 2PD & Surgeon-Major to the Honourable Artillery Company, London EC1Y 2BQ. robert.maclaren{at}merton.ox.ac.uk

Abstract

A structured approach to the management of a perforating ballistic eye injury is illustrated in this case, where initial treatment was limited to simple corneal wound closure and antibiotic prophylaxis. A pellet had passed completely through the globe but the retina remained attached, and it was decided to manage the case conservatively. Two retained foreign bodies were extruded spontaneously some months after the injury when suture removal and delayed cataract surgery led to a virtually perfect visual outcome. The patient has had no further complications at least three years after initial injury. The manage-ment of this civilian case illustrates some basic concepts in treating ballistic eye injuries that may be applicable in a military setting.

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