A Case of High-Pressure Paint Gun Injury to the Eyeball and Ocular Adnexa. |
Hyung Jin Moon, In Cheon You, Kyung Chul Yoon |
1Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju, Korea. kcyoon@jnu.ac.kr 2Department of Ophthalmology, Chonbuk National University, Medical School, Jeonju, Korea. |
고압으로 분사된 페인트에 의한 안손상의 1예 |
문형진1ㆍ유인천2ㆍ윤경철1 |
Department of Ophthalmology, Chonnam National University Medical School and Hospital1, Gwangju, Korea / Department of Ophthalmology, Chonbuk National University, Medical School2, Jeonju, Korea |
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Abstract |
PURPOSE To report a case of high-pressure paint gun injury to the eyeball and ocular adnexa. CASE SUMMARY: A 50-year-old woman was admitted after accidental high-pressure paint injection to her right eye while working. She complained of pain and severe swelling of the eyelids covered with paint. Slit lamp biomicroscopy showed multiple conjunctival lacerations, deposition of paint material on her conjunctiva, corneal edema and crystalline lens dislocation. Orbital computed tomography revealed infiltration of paint material into the retrobulbar space and rupture of medial rectus muscle. The paint was removed from the conjunctiva, Tenon's tissue, and medial orbit after the medial rectus muscle was disinserted. On the second postoperative day, the wound was irrigated and pus was drained from the conjunctiva wound. Two months after the operation, the patient underwent cataract removal due to high intraocular pressure associated with lens dislocation. Six months after the operation, eyeball movement was improved except medial gaze, and the cornea was stable with moderate corneal haziness. CONCLUSIONS: In high-pressure paint gun injury to the eye, detail evaluation, prompt removal of the foreign body and proper management of complications are necessary. |
Key Words:
Eyeball;High-pressure;Paint gun injury |
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