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Electroretinograms before and after extraction of large intraocular iron foreign body.


ABSTRACT:

Purpose

We present our findings in a case with an intraocular foreign body in which the electroretinographic (ERG) findings were useful.

Observations

A 37-year-old man was injured by an iron fragment that penetrated into his left eye through the cornea. His visual acuity was counting fingers, and a traumatic cataract prevented an examination of the fundus. B-mode ultrasonography showed a stick-like foreign body of approximately 14 mm in length in the eye. Preoperative ERGs with a contact lens electrode showed reduced responses with many blinking artifacts. Lensectomy and pars plana vitrectomy were performed and a fragment of a wire brush was seen embedded in the superior nasal retina which was removed. The decimal visual acuity improved to 1.2 two weeks later. The postoperative ERG performed with a skin electrode showed reduced responses in the injured eye.

Conclusions and importance

We recommend that the physiology of the retina be assessed by recording ERGs with a skin-type electrode as soon as possible after a traumatic injury to the eye.

SUBMITTER: Kumagai T 

PROVIDER: S-EPMC6525325 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature

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Publications

Electroretinograms before and after extraction of large intraocular iron foreign body.

Kumagai Tomoyuki T   Matsumoto Celso Soiti CS   Kimura Itaru I   Shinoda Kei K  

American journal of ophthalmology case reports 20190509


<h4>Purpose</h4>We present our findings in a case with an intraocular foreign body in which the electroretinographic (ERG) findings were useful.<h4>Observations</h4>A 37-year-old man was injured by an iron fragment that penetrated into his left eye through the cornea. His visual acuity was counting fingers, and a traumatic cataract prevented an examination of the fundus. B-mode ultrasonography showed a stick-like foreign body of approximately 14 mm in length in the eye. Preoperative ERGs with a  ...[more]

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