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Eye Foreign Body

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181. Foreign Body, Intraocular (Diagnosis)

: clinical characteristics, prognostic factors, and visual outcomes in 1421 eyes. Am J Ophthalmol . 2011 Jul. 152(1):66-73.e1. . Demircan N, Soylu M, Yagmur M, et al. Pars plana vitrectomy in ocular injury with intraocular foreign body. J Trauma . 2005 Nov. 59(5):1216-8. . Thompson JT, Parver LM, Enger CL, et al. Infectious endophthalmitis after penetrating injuries with retained intraocular foreign bodies. National Eye Trauma System. Ophthalmology . 1993 Oct. 100(10):1468-74. . Kumar A, Kumar V, Dapling (...) FA, Best RM, Kinsella F, et al. Management of endophthalmitis with retained intraocular foreign body. Eye . 2004 Feb. 18(2):179-82. . Brown IA. Intraocular foreign bodies. Nature of injury. Int Ophthalmol Clin . 1968 Spring. 8(1):147-52. . Cooke CA, Mulholland DA. A closer look at anterior segment intraocular foreign bodies. Eye . 2005 Apr. 19(4):476-8. . Mieler WF, Ellis MK, Williams DF, et al. Retained intraocular foreign bodies and endophthalmitis. Ophthalmology . 1990 Nov. 97(11):1532-8

2014 eMedicine.com

182. Corneal Foreign Body (Diagnosis)

: Aug 17, 2018 Author: Mounir Bashour, MD, PhD, CM, FRCSC, FACS; Chief Editor: Hampton Roy, Sr, MD Share Email Print Feedback Close Sections Sections Corneal Foreign Body Overview Background Corneal foreign body is foreign material on or in the cornea, usually metal, glass, or organic material. Next: Pathophysiology Corneal foreign bodies generally fall under the category of minor ocular trauma. Small particles may become lodged in the corneal epithelium or stroma, particularly when projected toward (...) the eye with considerable force. The foreign object may set off an inflammatory cascade, resulting in dilation of the surrounding vessels and subsequent edema of the lids, conjunctiva, and cornea. White blood cells also may be liberated, resulting in an anterior chamber reaction and/or corneal infiltration. If not removed, a foreign body can cause infection and/or tissue necrosis. Previous Next: Epidemiology Frequency United States Foreign bodies are one of the most frequent causes of visits

2014 eMedicine.com

183. Foreign Body Removal, Ear

specialist. Repeated attempts to remove a foreign body from the ear may result in infection, perforation, or other morbidity. [ , , ] Previous Next: Pearls See the list below: Consider that an underlying illness may have prompted the patient to insert a foreign body into the ear to relieve discomfort such as pain or pruritus. [ ] Perform a thorough head, ears, eyes, nose, and throat (HEENT) examination in all patients, since throat pain can refer to the ears. Always examine the opposite ear and both (...) Foreign Body Removal, Ear Ear Foreign Body Removal Procedures: Overview, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODA1MDctb3ZlcnZpZXc= processing > Ear Foreign Body Removal

2014 eMedicine.com

184. Foreign Body Removal, Cornea

in a timely manner, they can cause prolonged pain and lead to complications such as infection and ocular necrosis. An embedded foreign body. See , a Critical Images slideshow, to help identify various foreign objects and determine appropriate interventions and treatment options. An intraocular foreign body penetrates into the anterior chamber of the eye or into the globe itself. It is likely to cause significant morbidity and, thus, necessitates a through workup, including, in many instances, a detailed (...) Updated: Nov 07, 2018 Author: Carlos E Cao, MD, MPH; Chief Editor: Hampton Roy, Sr, MD Share Email Print Feedback Close Sections Sections Corneal Foreign Body Removal Overview Overview A is an object (eg, metal, glass, wood, plastic, sand) either superficially adherent to or embedded in the cornea of the eye (see the image below). The removal of a corneal foreign body is a procedure commonly performed in the clinic or emergency department setting. [ ] If corneal foreign bodies are not removed

2014 eMedicine.com

185. Foreign Body Removal, Wound

, Mayrose J, Fincher L, Jehle D. Comparison of normal saline with tap water for wound irrigation. Am J Emerg Med . 1998 Jul. 16(4):379-81. . Blankstein A, Cohen I, Heiman Z, et al. Localization, detection and guided removal of soft tissue in the hands using sonography. Arch Orthop Trauma Surg . 2000. 120(9):514-7. . Bocka JJ, Godfrey J. Emergency department use of an eye magnet for the removal of soft tissue foreign bodies. Ann Emerg Med . 1994 Feb. 23(2):350-1. . Crawford R, Matheson AB. Clinical value (...) Foreign Body Removal, Wound Wound Foreign Body Removal: Overview, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTUwODIwNy1vdmVydmlldw== processing > Wound Foreign Body Removal

2014 eMedicine.com

186. Airway Foreign Body

. . Brown JC, Chapman T, Klein EJ, Chisholm SL, Phillips GS, Osincup D, et al. The utility of adding expiratory or decubitus chest radiographs to the radiographic evaluation of suspected pediatric airway foreign bodies. Ann Emerg Med . 2013 Jan. 61(1):19-26. . Saki N, Nikakhlagh S, Heshmati SM. 25-Year Review of the Abundance and Diversity of Radiopaque Airway Foreign Bodies in Children. Indian J Otolaryngol Head Neck Surg . 2015 Sep. 67 (3):261-6. . Hegde SV, Hui PK, Lee EY. Tracheobronchial foreign (...) Airway Foreign Body Airway Foreign Body Imaging: Practice Essentials, Radiography, Computed Tomography Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDA1OTk0LW92ZXJ2aWV3 processing > Airway Foreign Body Imaging

2014 eMedicine Radiology

187. A Two-Week, Randomized, Double-masked Study to Evaluate Safety and Efficacy of Lubricin (150 μg/mL) Eye Drops Versus Sodium Hyaluronate (HA) 0.18% Eye Drops (Vismed®) in Patients with Moderate Dry Eye Disease. (Abstract)

, 51.9 ± 11.8 years) or HA (N=20, 61.8 ± 13.3 years). After a saline washout period, subjects administered BID therapy for 7 days, followed by instillation as needed (2-6 drops per eye) for 7 days. Visual analog scale (VAS) including foreign body sensation, burning/stinging, itching, pain, sticky feeling, blurred vision and photophobia were primary outcomes, with secondary endpoints of corneal fluorescein staining, Schirmer test, tear film breakup time (TFBUT), eyelid and conjunctival erythema (...) and number of instillations compared at day 14.The primary endpoint was met. Lubricin supplementation achieved greater than a 72% reduction from baseline in foreign body sensation (P<.013), burning/stinging, pain, sticky feeling (P<.0432), blurred vision (P<.0013), and photophobia (P<.011) in at least one eye. Lubricin also showed significant improvement in fluorescein staining (OD/OS: 43.8%/50.0%, vs. 26.5%/23.3%, P<.0398, P<.0232), TFBUT (P<.010), SANDE frequency (P<.0435), eyelid erythema (P<.004

2016 The ocular surface Controlled trial quality: uncertain

188. Intravitreal foreign body following intravitreal anti-VEGF injection: a case report Full Text available with Trip Pro

Intravitreal foreign body following intravitreal anti-VEGF injection: a case report 24357842 2014 11 04 2018 11 13 1476-5454 28 2 2014 Feb Eye (London, England) Eye (Lond) Intravitreal foreign body following intravitreal anti-VEGF injection: a case report. 244-5 10.1038/eye.2013.250 Al Bdour M D MD Department of Ophthalmology, Jordan University Hospital, The University of Jordan, Amman, Jordan. Ali Z R ZR Department of Ophthalmology, Jordan University Hospital, The University of Jordan, Amman (...) , Jordan. eng Case Reports Letter 2013 12 20 England Eye (Lond) 8703986 0950-222X 0 Angiogenesis Inhibitors 0 Antibodies, Monoclonal, Humanized 0 VEGFA protein, human 0 Vascular Endothelial Growth Factor A 2S9ZZM9Q9V Bevacizumab IM Angiogenesis Inhibitors administration & dosage therapeutic use Antibodies, Monoclonal, Humanized administration & dosage therapeutic use Bevacizumab Cotton Fiber Diabetic Retinopathy drug therapy Eye Foreign Bodies diagnosis etiology Humans Intravitreal Injections adverse

2013 Eye

189. A peculiar case of a retained inert piece of fireworks as an intraocular foreign body in the anterior chamber Full Text available with Trip Pro

A peculiar case of a retained inert piece of fireworks as an intraocular foreign body in the anterior chamber This is a descriptive case report of a seven-year-old boy presented in January 2007 with decreased vision in the right eye, for 2 months after sustaining a trauma while he was playing with fireworks during the Eid holiday. He was treated in a suburban hospital for corneal laceration and was prescribed a topical antibiotic and a topical steroid. When the child presented to us, a slit (...) lamp examination revealed a thread in the anterior chamber, his un-aided visual acuity was 6/60 on a Snellen chart. Surgery to remove the foreign body was scheduled, but the patient never attended. The patient was lost to follow-up and returned in January 2011 with an un-aided visual acuity of 6/12, although the foreign body was retained in the anterior chamber (AC) with a quiet eye and good vision. At that time, we decided to follow the patient without any surgical intervention. Again, the patient

2013 Saudi Journal of Ophthalmology

190. Foreign body mimicking a herpes simplex dendritic ulcer in the cornea Full Text available with Trip Pro

Diagnosis, Differential Eye Foreign Bodies diagnosis Female Humans Keratitis, Herpetic diagnosis Middle Aged 2013 7 12 6 0 2013 7 12 6 0 2014 3 13 6 0 epublish 23843417 bcr-2013-200143 10.1136/bcr-2013-200143 PMC3736634 (...) Foreign body mimicking a herpes simplex dendritic ulcer in the cornea 23843417 2014 03 10 2016 05 19 1757-790X 2013 2013 Jul 09 BMJ case reports BMJ Case Rep Foreign body mimicking a herpes simplex dendritic ulcer in the cornea. 10.1136/bcr-2013-200143 bcr2013200143 Yeo Damien Chia Ming DC Department of Ophthalmology, Singleton Hospital, Swansea, UK. cm.yeo@doctors.org.uk eng Case Reports Journal Article 2013 07 09 England BMJ Case Rep 101526291 1757-790X IM Corneal Ulcer diagnosis virology

2013 BMJ case reports

191. A prospective observational study of techniques to remove corneal foreign body in the emergency department. (Abstract)

A prospective observational study of techniques to remove corneal foreign body in the emergency department. Patients  with corneal foreign bodies (CFBs) often present to the emergency department (ED). However, removal techniques vary among emergency physicians (EPs). A prospective, single-blinded, observational study was performed to compare slit-lamp-aided (SLA) versus non-slit-lamp-aided (NSLA) CFB removal by EPs.Five EPs enrolled consecutive patients with a CFB over 3 months. One blinded EP (...) reviewed patients after 3 days. The study end points were: change in visual acuity; visual analogue pain scale (VAS) score at 12 and 24 h; satisfaction rating; symptoms at follow-up; and rate of complications.54 patients were enrolled: 28 had SLA removal and 26 NSLA removal; 52 were male; 22 had undergone previous CFB removal; six were wearing eye protection at the time of injury. Forty-three patients were reviewed: 26 by attendance and 18 by telephone. There was no difference in any end points

2013 Emergency Medicine Journal

192. FOREIGN BODY RESPONSE WITHIN POSTOPERATIVE PERFLUORO-N-OCTANE FOR RETINAL DETACHMENT REPAIR: Clinical Features, Grading System, and Histopathology. (Abstract)

vitreous cavity PFO endotamponade were analyzed by ophthalmoscopy for the presence of inflammation and white deposits. Ten consecutive samples developing white deposits were analyzed microscopically. Clinical variables were analyzed.One hundred and eighty-one eyes of 181 patients were included (mean age = 52.4 ± 14 years; mean follow-up = 29.7 ± 14 months). Fifty of 181 patients (28%) developed a characteristic foreign body response with abundant white deposits within indwelling PFO. Ten consecutive (...) FOREIGN BODY RESPONSE WITHIN POSTOPERATIVE PERFLUORO-N-OCTANE FOR RETINAL DETACHMENT REPAIR: Clinical Features, Grading System, and Histopathology. To describe the clinical and histopathologic characteristics of inflammatory deposits occurring within intermediate duration postoperative perfluoro-n-octane (PFO) for inferior retinal detachment repair.Prospective interventional case series of consecutive patients with inferior retinal detachment treated with intermediate duration postoperative

2013 Retina

193. A dose study of remifentanil in combination with propofol during tracheobronchial foreign body removal in children. (Abstract)

A dose study of remifentanil in combination with propofol during tracheobronchial foreign body removal in children. To assess the effect of two different remifentanil infusion doses on hemodynamic stability and recovery characteristics in children undergoing tracheobronchial foreign body removal during rigid bronchoscopy.Prospective, randomized, clinical comparison study.Operating room of a university hospital.70 ASA physical status 1 and 2 children, aged 3-12 years, presenting (...) for tracheobronchial foreign body removal during rigid bronchoscopy.Children were divided equally into two groups to receive either a 0.1 μg/kg/min (Group R1) or 0.2 μg/kg/min (Group R2) remifentanil infusion. Ten minutes after the remifentanil infusion, 3 mg/kg of propofol and 0.02 mg/kg of atropine were given. Anesthesia was maintained with 0.1 μg/kg/min of remifentanil and 100-250 μg/kg/min of propofol in Group R1 and 0.2 μg/kg/min of remifentanil and 100-250 μg/kg/min of propofol in Group R2. After baseline

2013 Journal of clinical anesthesia Controlled trial quality: uncertain

194. Tolerability, Safety and Efficacy of Lubricin (150 µg/ml) Eye Drops Versus Sodium Hyaluronate (HA) 0.18% Eye Drops in Patients With Moderate Dry Eye (DE)

drops Device: Sodium Hyaluronate Sodium hyaluronate 0.18% eye drops Outcome Measures Go to Primary Outcome Measures : PTAE (pre-treatment adverse events) [ Time Frame: Screening ] Pre-treatment Adverse Events Foreign body sensation (VAS for Local Ocular Tolerability) [ Time Frame: Baseline (Day 1) ] VAS for Local Ocular Tolerability Foreign body sensation (VAS for Local Ocular Tolerability) [ Time Frame: Day 14 ] VAS for Local Ocular Tolerability Burning/Stinging (VAS for Local Ocular Tolerability (...) of age or older. Patients with moderate dry eye characterized by at least one eye with signs and symptoms of moderate dry eye (grade 2 or 3 of the 2007 DEWS report) Patients diagnosed with dry eye from at least 3 months (current use or recommended use of artificial tears for the treatment of Dry Eye) Average VAS score for typical symptoms of Dry Eye (foreign body sensation, burning/stinging, itching, pain, stick feeling, blurred vision and photophobia) ≥ 25 mm; Corneal staining score with fluorescein

2015 Clinical Trials

195. Dry Eye

poškození. Srov. xerostomie, Sjögrenův syndrom, sicca syndrom, vitamin A. (cit. Velký lékařský slovník online, 2013 http://lekarske.slovniky.cz/ ) Definition (NCI) A syndrome characterized by dryness of the cornea and conjunctiva. It is usually caused by a deficiency in tear production. Symptoms include a feeling of burning eyes and a possible foreign body presence in the eye. Definition (NCI_CTCAE) A disorder characterized by dryness of the cornea and conjunctiva. Definition (MSH) Corneal (...) and conjunctival dryness due to deficient tear production, predominantly in menopausal and post-menopausal women. Filamentary keratitis or erosion of the conjunctival and corneal epithelium may be caused by these disorders. Sensation of the presence of a foreign body in the eye and burning of the eyes may occur. Concepts Disease or Syndrome ( T047 ) MSH , ICD10 SnomedCT 193980001 , 155182003 , 1249004 , 46152009 English Syndrome, Dry Eye , Syndromes, Dry Eye , dry eye , Dry Eye Syndromes , dry eye syndrome

2018 FP Notebook

196. Acute Red Eye

for , or (e.g. ) for ( l swelling) l clouding Anterior Chamber Exam (typically with ) Cells and Flare ( ) (esp. if >20 mmHg) (especially acute angle closure) Other findings (consider ) IV. Differential Diagnosis (scratchy or gritty sensation) ( ) Acute (e.g. , ) (e.g. , enterovirus, coxsackievirus, VZV, HSV) (Inclusion ) or other involvement (foreign body sensation) ( ) (or ) ( ) abnormalities Lagophthalmos (inability to close eye completely, e.g. ) with globe exposure Orbital disorders Idiopathic orbital (...) Acute Red Eye Acute Red Eye Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Acute Red Eye Acute Red Eye Aka: Acute Red Eye , Red Eye

2018 FP Notebook

197. Eye Pain

foreign body Entropion Interstitial Ocular Herpetic infection calcification Band keratopathy V. Causes: Eye Pain without lesions (quiet non-Red Eye) See Visual Loss or visual field deficit Intraocular tumor Posterior Optic , or retrobulbar neuritis Associated neurologic deficits Tolosa-Hunt Syndrome or Associated (Ethmoid, Sphenoid, or involvement) Consider other diagnoses Eye strain VI. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing (...) (e.g. , sicca syndrome) Eye scratchy or gritty sensation Wear Risk of infectious Photophobia l involvement (e.g. , ) ( ) ( ) (esp. s) (esp. , also causes ) with Eye Pain (emergent ophthalmology evaluation needed) ( ) HSV s III. Exam Increased (esp. >40-50 mmHg) ( ) pain ( ) (or ) Eyelid s Photophobia on penlight test (light applied from 6 inches for 2 seconds) uptake defects Afferent pupil defect ( ) Aniscoria ( s) ( ) Fixed, dilated pupil IV. Causes: Eye Pain with Visible lesions See Ocular

2018 FP Notebook

198. Eye Injury

Injury with worse prognosis Tear drop shaped or peaked pupil suggests s Evert upper to observe for Sweep upper and lower s with a moistened cotton swab stain (e.g. , l ) (evaluation of ) Vitreous fluid leaks from eye and dilutes Exam of , and anterior chamber exam Foreign body or l injection ( ) Altered suggests serious Eye Injury Other tests testing should be avoided in suspected VI. Evaluation: Red Flags (require immediate ophthalmology evaluation) Sudden decrease in Visual field defect Painful s (...) -100% for identify foreign body Best efficacy for larger foreign bodies, glass, metal, stone Negative CT Orbits does not exclude foreign body IX. Complications: Intraocular foreign body (30%) Eye enucleation (8%) Complete (5%) X. Management: Intraocular foreign body Consult ophthalmology early, emergently Ophthalmology intervention within 24 hours improves outcomes Decreased risk Improved outcome in Tetanus Broad-spectrum parenteral antibiotics to prevent AND or XI. Prevention See Hammering

2018 FP Notebook

199. Eye Examination

and pupil size ( , ) (including s) V. Exam: Comprehensive Eye Exam (Ophthalmology) Indications (see routine Eye Exam schedule above) Dilated Eye Exam with Tonometry Visual Field Testing VI. Exam: Tools ( ) Strongly consider use in acute presentations where is key (if not contraindicated) See l artery Tonometry (e.g. Tonopen or Applanation Tonometry) or other injury Foreign body Evaluate for Evaluate for VII. Exam: Eye Injury See See See Apply topical anesthesia (e.g. topical tetracaine) l (and lower (...) to the eyes. Concepts Health Care Activity ( T058 ) ICD9 95.09 ICD10 SnomedCT 225688004 , 36228007 Italian Esame oftalmologico , Esame dell'occhio , Esame dell'occhio NAS Dutch oogonderzoek NAO , oogonderzoek , gezichtsvermogen; onderzoek , onderzoek; gezichtsvermogen , onderzoek; oog , oog; onderzoek , oftalmologisch onderzoek French Examen oculaire SAI , Examen de l'oeil , Examen ophtalmologique German Augenuntersuchung , Augenuntersuchung NNB , Ophthalmologische Untersuchung Portuguese Exame ocular

2018 FP Notebook

200. Efficacy and safety of bromfenac 0.09% and sodium hyaluronate 0.4% combination therapy, versus placebo in patients with pterygium I-III for clinical signs on ocular inflammation. Full Text available with Trip Pro

+SH 0.4% or placebo+SH 0.4%. This was a Phase IV, prospective, parallel, double-masked, multicenter clinical trial. One drop of bromfenac or placebo was instilled two times a day (BID) for 20 days, both groups accompanied treatments with one drop of SH three times a day (TID). The primary efficacy endpoints were the conjunctival hyperemia and the Ocular Surface Disease Index (OSDI) score. Other results measured included burning, foreign body sensation, and photophobia. The safety was assessed (...) by the tear break-up time (TBUT), visual acuity (VA), IOP, lissamine green, fluorescein stains, and the incidence of adverse events (AEs). Results: Compared with baseline, there was a significant reduction in the conjunctival hyperemia (p=0.0001) and OSDI score in both groups (p=0.0001). There was a significant improvement in ocular symptomatology for both, placebo/SH and bromfenac/SH groups (p=0.0001), the decrement in the ocular burning was 41.1% vs 24.6%, the foreign body sensation was 31.5% vs 36.2

2019 Clinical ophthalmology (Auckland, N.Z.) Controlled trial quality: predicted high

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