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Klin Monbl Augenheilkd 1997; 210(1): 65-67
DOI: 10.1055/s-2008-1035017
Diagnostisches Forum

© 1997 F. Enke Verlag Stuttgart

Massive Fremdkörperreaktion nach intraokularer Einsprengung von heißem, flüssigem Kunststoff

Massive Foreign Body Reaction after Intraocular Incorporation of Hot Liquid PlasticJens Martin Rohrbach1 , Torsten Schlote1 , Martin Kriegerowski1 , Rainer Klier2
  • 1Universitäts-Augenklinik Tübingen, Abteilung I (Ärztlicher Direktor: Prof. Dr. H.-J. Thiel)
  • 2Radiologische Universitätsklinik Tübingen, Abteilung für Neuroradiologie (Ärztlicher Direktor: Prof. Dr. K. Voigt)
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Publication History

Manuskript eingereicht am 10.06.1996

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Publication Date:
08 February 2008 (online)

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Summary

Patients A 32-year-old male had an injury of his right eye by hot liquid plastic (Ultradur R). Intraoperatively, the eye was found broadly penetrated and filled up by more than 50% with ragged pieces of plastic. Computed tomography three days after wound closure revealed remaining foreign body material. As function was totally lost no further operation was considered. Seven weeks after the trauma, the eye was enucleated because of a painful phthisis. Histology showed numerous giant cells.

Conclusions Hot liquid plastic may perforate the eye and fill it up to a great extent. Due to intraocular cooling, pieces with sharp edges may develop, thus producing further (mechanical) tissue damage. Intraocular plastic is able to induce a massive foreign body reaction. It may be detected easily by computed tomography.

Schlüsselwörter

Heißer - flüssiger - Kunststoff - Penetrierende Verletzung - Fremdkörperreaktion - Computertomographie

Key words

Hot liquid plastics - Penetrating injury - Foreign body reaction - Computed tomography