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Klin Monbl Augenheilkd 2020; 237(07): 889-893
DOI: 10.1055/a-1142-6502
Klinische Studie

Visualisierung von intraokularen Fremdkörpern im Ziliarkörperbereich mittels infraroter Transillumination (Pilotstudie)

Imaging of Intraocular Foreign Bodies Located in the Projection of the Ciliary Body by Infrared Transillumination (Pilot Study)
Mykhailo Kogan
1   Department of Post Traumatic Eye Pathology, The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Odessa, Ukraine
,
Oleg Zadorozhnyy
2   Department of Laser Microsurgery of Eye Diseases, The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Odessa, Ukraine
,
Andrii Korol
2   Department of Laser Microsurgery of Eye Diseases, The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Odessa, Ukraine
,
Oksana Petretskaya
1   Department of Post Traumatic Eye Pathology, The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Odessa, Ukraine
,
Tatiana Krasnovid
1   Department of Post Traumatic Eye Pathology, The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Odessa, Ukraine
,
Nataliya Pasyechnikova
2   Department of Laser Microsurgery of Eye Diseases, The Filatov Institute of Eye Diseases and Tissue Therapy of the National Academy of Medical Sciences of Ukraine, Odessa, Ukraine
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Zusammenfassung

Hintergrund Trotz der Verbesserung der Diagnosetechnologien bleibt die Detektion von intraokularen Fremdkörpern (IFK), die sich in der Projektion des Ziliarkörpers befinden, eines der aktuellen Probleme der Augentraumatologie.

Ziel Untersuchung der möglichen Visualisierung intraokularer Fremdkörper (IFK) in der Projektion des Ziliarkörpers mithilfe der infrarоten transpalpebralen Transillumination (IRTT).

Materialien und Methoden Analyse von 10 Personen (10 Augen) mit einer penetrierenden Augenwunde und nachgewiesenem IFK. In allen Fällen erfolgten Röntgendiagnostik, Ultraschalluntersuchung des Auges und IRTT.

Ergebnisse Bei allen Patienten wurden Schatten von den Strukturen des Ziliarkörpers (Pars plana, Pars plicata) auf der Sklera mittels IRTT und Schatten von IFK visualisiert.

Schlussfolgerung Die Technik der IRTT bei Patienten mit penetrierenden Augenverletzungen ermöglicht die nicht invasive Visualisierung von IFK in der Projektion des Ziliarkörpers und die Identifizierung ihrer Lokalisation.

Abstract

Background Despite the improvement in diagnostic technologies, imaging of intraocular foreign bodies (IOFB) located in the projection of the ciliary body remains one of the current problems of ocular traumatology.

Purpose To study the possibilities of imaging intraocular foreign bodies in the projection of the ciliary body by infrared transpalpebral transillumination (IRTT).

Materials and Methods 10 patients (10 eyes) with a penetrating eye wound and the presence of an IOFB were enrolled in the study. X-ray diagnostic testing, ultrasound examination of the eye and IRTT were performed in all patients.

Results In all patients, the IRTT revealed the shadows of the Pars plana and Pars plicata of the ciliary body on the sclera as well as the shadow of an IOFB.

Conclusion The technique of IRTT in patients with penetrating eye injury allows non-invasive imaging of IOFB in the projection of the ciliary body and identification of their localisation.

Schlüsselwörter

Infrarotstrahlung - Transillumination - intraokulare Fremdkörper - Augapfelverletzung - Ziliarkörper

Key words

infrared radiation - transillumination - intraocular foreign body - eyeball injury - ciliary body


Publication History

Received: 24 December 2019

Accepted: 16 March 2020

Article published online:
20 May 2020

Georg Thieme Verlag KG
Stuttgart · New York

 

  • Literatur

  • 1 Erikitola O, Shahid S, Waqar S. et al. Ocular trauma: classification, management and prognosis. Br J Hosp Med (Lond) 2013; 74: C108-C111
    CrossrefPubMedSearch in Google Scholar
  • 2 Kaushik S, Ichhpujani P, Ramasubramanian A. et al. Occult intraocular foreign body: ultrasound biomicroscopy holds the key. Int Ophthalmol 2008; 28: 71-73
    CrossrefPubMedSearch in Google Scholar
  • 3 Loporchio D, Mukkamala L, Gorukanti K. et al. Intraocular foreign bodies. Surv Ophthalmol 2016; 61: 582-596
    CrossrefPubMedSearch in Google Scholar
  • 4 Raina U, Kumar V, Kumar V. et al. Metallic intraocular foreign body retained for four years – an unusual presentation. Cont Lens Anterior Eye 2010; 33: 202-204
    CrossrefPubMedSearch in Google Scholar
  • 5 Lima-Gómez V, Blanco-Hernández DM, Rojas-Dosal JA. Ocular trauma score at the initial evaluation of ocular trauma. Cir Cir 2010; 78: 209-213
    PubMedSearch in Google Scholar
  • 6 Ji JD, Ding YZ, Hu ZZ. et al. Extracting intraocular foreign body at or near the ciliary body with scleral indentation in direct visualization. Int J Ophthalmol 2018; 11: 533-535
    PubMedSearch in Google Scholar
  • 7 Koch FHJ, Deuchler S, Singh P. et al. Diaphanoskopie am Auge. Ophthalmologe 2017; 114: 857-864
    CrossrefPubMedSearch in Google Scholar
  • 8 Zadorozhnyy O, Alibet Y, Kryvoruchko A. et al. Dimensions of ciliary body structures in various axial lengths in patients with rhegmatogenous retinal detachment. J Ophthalmol (Ukraine) 2017; 6: 32-36
    PubMedSearch in Google Scholar
  • 9 Pasyechnikova N, Naumenko V, Korol A. et al. Digital imaging of the fundus with long-wave illumination. Klin Oczna 2009; 111: 18-20
    PubMedSearch in Google Scholar
  • 10 Zadorozhnyy O, Korol A, Nevska A. et al. Ciliary body imaging with transpalpebral near-infrared transillumination – a pilot study. Klin Oczna 2016; 3: 184-186
    PubMedSearch in Google Scholar
  • 11 Pandey AN. Ocular foreign bodies: a review. J Clin Exp Ophthalmol 2017; 8: 645
    PubMedSearch in Google Scholar
  • 12 Zhang Y, Zhang M, Jiang C. et al. Intraocular foreign bodies in Сhina: clinical characteristics, prognostic factors, and visual outcomes in 1,421 eyes. Am J Ophthalmol 2011; 152: 66-73
    CrossrefPubMedSearch in Google Scholar