TY  - JOUR
PY  - 2018//
TI  - Conservative management of penetrating ocular trauma caused by a nail gun
JO  - American journal of ophthalmology case reports
A1  - Irving Enrique, Carral-Santander
A1  - Dhariana, Acón-Ramírez
A1  - Vidal, Soberón-Ventura
A1  - Carlos Felipe, Peñaranda-Henao
A1  - Lorena, Wheelock-Gutiérrez
A1  - Gerardo, García-Aguirre
SP  - 115
EP  - 118
VL  - 11
IS  - 
N2  - PURPOSE: To report the conservative management of a penetrating ocular trauma caused by a nail gun with a six-month follow up. OBSERVATIONS: A 21 year-old healthy female suffered an ocular penetrating trauma with a nail gun. She presented with a metallic foreign body that partially entered her left eye through the nasal sclera via pars plana, 3 mm posterior to the limbus, but did not reach the retina. Surgical removal of the foreign body and closure of the scleral wound, without vitrectomy, was performed 16 h after the injury. Intravitreal prophylactic antibiotic was administered. Retinal atrophy developed in the areas that had <i>commotio retinae</i> at presentation, but no further complications were observed. <br><br>CONCLUSIONS: and Importance: Pars plana vitrectomy may not be necessary in all penetrating ocular traumas with intraocular foreign body, as long as the foreign body is accessible from the exterior of the eye and there are no other conditions (such as vitreous hemorrhage, retinal detachment, endophthalmitis, etc) that are an indication for vitrectomy.<p />  <p>Language: en</p>
LA  - en
SN  - 2451-9936
UR  - http://dx.doi.org/10.1016/j.ajoc.2018.06.010
ID  - ref1
ER  -