An excellent anatomical and visual recovery after surgical repair of an open eye injury with poor baseline prognostic factors

Presently described is case of a 42-year-old woman with eye injury that was result of gunshot fired by a man at a wedding celebration. Bullet penetrated inferior quadrant of nasal sclera of left eye 7–12 mm behind limbus. Choroid and vitreous were prolapsed around bullet. Hemorrhage, vitreous prolapse and lens subluxation were present in anterior chamber. Presenting visual acuity (VA) was hand motion. Bullet 14x5 mm in size was carefully extracted from the eye. Fifteen days later, argon laser photocoagulation was performed on retina in area of bullet entry point. VA was 20/25 (Snellen) at final visit. In this case, although foreign body was large, area of penetration was Zone III, and initial VA was poor, early and appropriate surgical repair achieved integrity of the globe and good vision prognosis.

Kötü baþlangýç prognostik faktörlere sahip açýk göz yaralanmasýnda cerrahisi sonrasý mükemmel anatomik ve görsel iyileþme

Bu yazýda, düðün töreni sýrasýnda ateþlenen mermi ile göz yaralanmasý oluþan 42 yaþýndaki kadýn hasta sunuldu. Mermi çekirdeði, sol göz nazal skleranýn alt kadranýnda, limbusun 7–12 milimetre arkasýný delmiþti. Koroid ve vitreus çekirdeðin etrafýna prolabeydi. Ön kamarada kanama, vitreus prolapsusu ve lens subluksasyonu mevcuttu. Baþvuru anýndaki görme keskinliði el hareketi seviyesindeydi. 14x5 mm büyüklüðündeki mermi çekirdeði gözden dikkatlice çýkarýldý. On beþ gün sonra, giriþ alaný çevresindeki retinaya argon lazer fotokoagülasyon uygulandý. Hastanýn son ziyaretindeki görme keskinliði 20/25 (Snellen) idi. Bu olguda, yabancý cisim büyük, penetrasyon alaný zon 3’de ve baþlangýç görme keskinliði kötü olmasýna raðmen, erken ve uygun cerrahi onarým göz küresinin bütünlüðü ve iyi görme prognozu saðlamýþtýr.