J.ophthalmol.(Ukraine).2019;4:23-27.

http://doi.org/10.31288/oftalmolzh201942327

Visualization of intraocular foreign bodies in the projection of the ciliary body by transpalpebral near-infrared transillumination

M.B. Kogan, Ophthalmologist, Post-graduate Student; O.S. Zadorozhnyy, Cand Sc (Med), O.S. Petretska, Cand Sc (Med); T.A. Krasnovid, Dr Sc (Med); A.R. Korol, Dr Sc (Med);  N.V. Pasyechnikova, Dr Sc (Med), Prof.

SI " The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine”; Odesa (Ukraine)

E-mail: mihailkogan2@gmail.com

TO CITE THIS ARTICLE: Kogan MB, Zadorozhnyy OS, Petretska OS, Krasnovid TA, Korol AR, Pasyechnikova NV. Visualization of intraocular foreign bodies in the projection of the ciliary body by transpalpebral near-infrared transillumination. J.ophthalmol.(Ukraine).2019;4:23-27. http://doi.org/10.31288/oftalmolzh201942327


Background: Despite advances in intraocular foreign body (IOFB) diagnosis, detecting IOFB is a challenge for the ocular traumatologist.

Purpose: To assess the potential of near-infrared transpalpebral transillumination (NIR TPT) for visualization of IOFB in the projection of the ciliary body to the sclera.

Materials and Methods: Ten patients (10 eyes) with penetrating globe injuries associated with IOFB were under observation. All patients underwent an X-ray examination with frontal and lateral projections (both with and without using the Komberg-Baltin prosthesis), ultrasound scanning of the anterior eye and posterior eye; ultrasound distant perimetry; metal detector examination; and NIR TPT.

Results: In all patients, NIR TPT visualized scleral shadows of the ciliary body pars plicata and pars plana as well as the IOFB shadow. The IOFB was localized in relation to ciliary body structures in all cases.

Conclusion: NIR TPT enables non-invasive visualization of IOFBs in the anterior segment, as well as localization of these IOFBs in relation to ciliary body structures in patients with penetrating globe injury.

Keywords: penetrating globe injury, intraocular foreign body, infrared radiation, transillumination

References

1.Erikitola O, Shahid S, Waqar S, Hewick S. Ocular trauma: classification, management and prognosis. Brit J Hosp Med. 2013;74:108-11.

2.Loporchio D, Mukkamala L, Gorukanti K, Zarbin M, Langer P, Bhagat N. Intraocular foreign bodies. Surv Ophthalmol. 2016; 61(5):582-96.

3.Lima-Gómez V, Blanco-Hernández D, Rojas-Dosal J. Ocular trauma score at the initial evaluation of ocular trauma.CIR CIR. 2010 May-Jun;78(3):209-13.

4.Arora R, Sanga L, Kumar M, Taneja M. Intralenticular foreign bodies: report ofeight cases and review of management. Indian J Ophthalmol. 2000;48:119-22.

5.Zhang Y, Zhang M, Jiang C, Qiu HY. Intraocular foreign bodies in Сhina: clinical characteristics, prognostic factors, and visual outcomes in 1,421 eyes. Am J Ophthalmol. 2011;152(1):66-73.

6.Raina U, Kumar V, Kumar V, Sud R, Goel N, Ghosh B. Metallic intraocular foreignbody retained for four years – an unusual presentation. Cont Lens Anterior Eye. 2010;33:202-4.

7.Gundorova RA, Stepanov AV, Kurbanova NF. [Current ocular traumatology]. Moscow: Meditsina; 2007. Russian.

8.Pandey A.N. Ocular Foreign Bodies: A Review. J Clin Exp Ophthalmol. 2017; 8: 645.

9.Gundarova R, Chentsova E, Leparskaya N, Lugovkina K,  Pavlova V, Shaldin P. [Ultrasound biomicroscopy and laser Doppler fluormetry study of the ciliary body in traumatic retinal detachment due to ocular contusion]. Rus Ophthalmol J. 2012;3:14-8. Russian.

10.Kaushik S, Ichhpujani P, Ramasubramanian A, Pandav SS. Occult intraocular foreign body: ultrasound  biomicroscopy holds the key. Int Ophthalmol. 2008;28:71-3.

11.Koch FHJ, Deuchler S, Singh P, Hessling M. Diaphanoskopie am Auge.    Ophthalmologe.  2017;114(9):857-64.

12.Zadorozhnyy O, Alibet Yassine, Kryvoruchko A, Levytska G, Pasyechnikova N. Dimensions of ciliary body structures in various axial lengths in patients with rhegmatogenous retinal detachment. Journal of Ophthalmology (Ukraine). 2017;6:32-6.

13.Zadorozhnyy O, Korol A, Nevska A, Kustryn T, Pasyechnikova N. Ciliary body imaging with transpalpebral near-infrared transillumination – a pilot study. Klinika oczna. 2016;3:184-6.

14.Wylegala E, Dobrowolski D, Nowinska A, Tarnawska D. Anterior segment optical coherence tomography in eye injuries. Graef Arch Clin. Exp.2009;247:451-5.

15.Pasyechnikova N, Naumenko V, Korol A, Zadorozhnyy O. Digital imaging of the fundus with long-wave illumination. Klinika oczna. 2009;111(1-3):18-20.

The authors certify that they have no conflicts of interest in the subject matter or materials discussed in this manuscript.