Open AccessBilateral iPhone Gorilla Glass Intraocular Foreign Bodies in a Pediatric Patient
Author(s) -
Meghana Kalavar,
Alexandra E. Levitt,
Nimesh A. Patel,
Kevin D. Clauss,
Kenneth C. Fan,
Nicolas A. Yannuzzi,
Audina M. Berrocal
Publication year - 2020
Publication title -
journal of vitreoretinal diseases
Language(s) - English
Resource type - Journals
eISSN - 2474-1272
pISSN - 2474-1264
DOI - 10.1177/2474126420951987
Subject(s) - vitrectomy , medicine , vitreous hemorrhage , foreign bodies , ophthalmology , foreign body , gorilla , surgery , visual acuity , paleontology , biology
A 13-year old male presented with bilateral intraocular foreign bodies (IOFBs) after a bullet struck his iPhone. The right eye vision was 20/50 and examination disclosed a limbal entry wound at 6:00, dense traumatic cataract, and vitreous hemorrhage. The left eye was 20/40 and an entry wound located roughly 4mm posterior to the limbus was noted. Fundoscopy revealed multiple refractile particles with pre-retinal and vitreous hemorrhage. CT scan demonstrated hyperdensities in the vitreous cavity bilaterally. Globe closure, cataract removal, vitrectomy, and endolaser were undertaken in the right eye, while only globe closure was performed in the left eye. On latest follow-up, the patient had 20/20 corrected vision without inflammation bilaterally. This case highlights challenges associated with the management of IOFBs of unknown material in a pediatric patient. A conservative approach led to full visual recovery, despite retained intraocular smartphone Gorilla glass.