J.ophthalmol.(Ukraine).2020;6:19-24.
http://doi.org/10.31288/oftalmolzh202061924
Received: 25 August 2020; Published on-line: 21 December 2020
Comparing detection rates of near-infrared transpalpebral transillumination, ultrasonography and radiography for foreign bodies in the anterior segment of the eye
M. B. Kogan, O. S. Zadorozhnyy, O. S. Petretska, T. A. Krasnovid, A. R. Korol
SI "The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine"; Odesa (Ukraine)
E-mail: mihailkogan2@gmail.com
TO CITE THIS ARTICLE: Kogan MB, Zadorozhnyy OS, Petretska OS, Krasnovid TA, Korol AR. Comparing detection rates of near-infrared transpalpebral transillumination, ultrasonography and radiography for foreign bodies in the anterior segment of the eye. J.ophthalmol.(Ukraine).2020;6:19-24.http://doi.org/10.31288/oftalmolzh202061924
Background: Penetrating globe injury is a leading cause of registered visual disability among working-age adults. Despite advances in imaging techniques, the detection of an intraocular foreign body (IOFB) in the projection of the ciliary body is still a challenge for the ophthalmologist.
Purpose: To compare detection rates of near-infrared transpalpebral transillumination, ultrasonography and radiography for foreign bodies situated in the anterior segment of the eye.
Material and Methods: Thirty male patients (30 eyes; age, 21 to 65 years) with penetrating globe injuries and suspected foreign body in the anterior segment of the eye (the anterior chamber, lens, anterior vitreous cavity) were under our observation. The fellow eye was unaffected. Patients underwent visual acuity assessment, biomicroscopy, ophthalmoscopy, ultrasound scanning of the anterior and posterior segment of the eye, ultrasound biometry, radiography and near-infrared transpalpebral transillumination (NIR TPT).
Results: The use of a non-invasive NIR TPT method in conjunction with traditional imaging modalities (radiography and ultrasound) resulted in a ten percent increase in the rate of detection of anterior segment foreign bodies due to the detection of some X-ray-negative IOFBs and identification of small (less than 1 mm) IOFBs.
Conclusion: The NIR TPT method allows for non-invasive visualization of anterior segment foreign bodies of various compositions in patients with penetrating globe injuries. The use of a non-invasive NIR TPT method in conjunction with traditional imaging modalities resulted in a ten percent increase in the rate of detection of foreign bodies due to the detection of some X-ray-negative IOFBs and identification of small (less than 1 mm) IOFBs. Massive subconjunctival hemorrhages hamper adequate detection of foreign bodies in the projection of the ciliary body by NIR TPT due to intensive absorption of near-infrared light.
Keywords: penetrating globe injury, intraocular foreign body, infrared radiation, transillumination
References
1.Lima-Gómez V, Blanco-Hernández D, Rojas-Dosal J. Ocular trauma score at the initial evaluation of ocular trauma. Cir Cir. May-Jun 2010;78(3):209-13.
2.Loporchio D, Mukkamala L, Gorukanti K, Zarbin M, Langer P, Bhagat N. Intraocular foreign bodies. Surv Ophthalmol. 2016; 61(5):582-96.
3.Zhang Y, Zhang M, Jiang C, Qiu HY. Intraocular foreign bodies in China: clinical characteristics, prognostic factors, and visual outcomes in 1,421 eyes. Am J Ophthalmol. 2011;152(1):66-73.
4.Kuhn F, Pieramici DJ. Intraocular foreign bodies, In: Ferenc K, Pieramici D (eds) Ocular Trauma: Principles and Practice. New York, Thieme; 2002, p. 235-63.
5.Potts AM, Distler JA. Shape factor in the penetration of intraocular foreign bodies. Am J Ophthalmol. 1985;100(1):183-7.
6.Reynolds DS, Flynn HW, Jr. Endophthalmitis after penetrating ocular trauma. Curr Opin Ophthalmol. 1997; 8:32–38.
7.Arora R, Sanga L, Kumar M, Taneja M. Intralenticular foreign bodies: report of eight cases and review of management. Indian J Ophthalmol. 2000;48:119-22.
8.Lee W, Park SY, Park TK, Kim HK, Ohn YH. Mature cataract and lens-induced glaucoma associated with an asymptomatic intralenticular foreign body. J Cataract Refract Surg. 2007 Mar;33(3):550-2.
9.Lin YC, Kuo CL, Chen YM. Intralenticular foreign body: A case report and literature review. Taiwan J Ophthalmol. 2019;9(1):53–59.
10.Raina U, Kumar V, Kumar V, Sud R, Goel N, Ghosh B. Metallic intraocular foreign body retained for four years – an unusual presentation. Cont Lens Anterior Eye. 2010;33:202-4.
11.Tokoro M, Yasukawa T, Okada M, Ogura Y, Uchida S. Copper foreign body in the lens without damage of iris and lens capsule. Int Ophthalmol. 2007;27(5):329-31. doi: 10.1007/s10792-007-9074-5.
12.Zadorozhnyy O, Alibet Yassine, Kryvoruchko A, Levytska G, Pasyechnikova N. Dimensions of ciliary body structures in various axial lengths in patients with rhegmatogenous retinal detachment. J Ophthalmol (Ukraine). 2017;6:32-6.
13.Zadorozhnyy O, Korol A, Nevska A, Kustryn T, Pasyechnikova N. Ciliary body imaging with transpalpebral near-infrared transillumination – a pilot study. Klinika oczna. 2016;3:184-6.
14.Kogan M, Zadorozhnyy O, Petretska O, Krasnovid T, Korol A, Pasyechnikova N. [Imaging of Intraocular Foreign Bodies Located in the Projection of the Ciliary Body by Infrared Transillumination (Pilot Study)]. Klin Monbl Augenheilkd. 2020; 237(07): 889-93. German.
15.Kogan MB. Visualization of anterior eye structures by near-infrared transillumination in patients with contusions of the globe. J Ophthalmol (Ukraine). 2020;2:46-50.
16.Kogan MB, Zadorozhnyy OS, Petretska OS, Krasnovid TA, Korol AR, Pasyechnikova NV. Visualization of intraocular foreign bodies in the projection of the ciliary body by transpalpebral near-infrared transillumination. J Ophthalmol (Ukraine). 2019;4:23-27.
17.Zadorozhnyy O, Guzun O, Kustryn T, Nasinnyk I, Chechin P, Korol A. Targeted transscleral laser photocoagulation of the ciliary body in patients with neovascular glaucoma. J Ophthalmol (Ukraine). 2019;4:3-7.
18.Kanda Y. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant. 2013;48:452–458. doi: 10.1038/bmt.2012.244
19.Coleman DJ, Lucas BC, Rondeau MJ, Chang S. Management of intraocular foreign bodies. Ophthalmology. 1987; 94: 1647–53.
20.Erikitola O, Shahid S, Waqar S, Hewick S. Ocular trauma:classification, management and prognosis. Brit J Hosp Med. 2013;74:108-11.
21.Pandey A.N. Ocular Foreign Bodies: A Review. J Clin Exp Ophthalmol. 2017; 8:645.
22.Navon SE. Management of the ruptured globe. Int Ophthalmol Clin. 1995;35:71-91.
The authors certify that they have no conflicts of interest in the subject matter or materials discussed in this manuscript.