Gunpowder injury to the cornea and the lens

Fahrettin AKAY; Yıldıray YILDIRIM

doi:https://doi.org/10.5835/jecm.omu.29.03.018

Article Details

Gunpowder injury to the cornea and the lens

Authors:

Fahrettin AKAY | Yıldıray YILDIRIM

Publisher:

Ondokuz Mayıs University

Main Topics:

Promotion of health

Journal:

Journal of Experimental and Clinical Medicine 2012 Vol.29 Issue 3, pp.249-251

Document Type:

Article

Publication Date:

10/2012

Document Language:

English

Document ID (Org No.):

2000509311

Frequency:

Quarterly

eISSN:

1309-5129

pISSN:

1309-4483

DOI:

https://doi.org/10.5835/jecm.omu.29.03.018

Abstract:

 

To report a case of gunpowder injury to left eye with both superficial and deep seated corneal-conjonctival multiple gunpowder particles. A 30-year-old noncommicent officer injured by the explosion of a heavy machine gun loaded with a big caliber bullet during the battle training. He suffered from the multiple particles of nonactivated gunpowder to his face and left eye. His visions were 20/20 in the right eye and 20/32 in the left eye with Snellen visual acuity chart. Multiple gunpowder particles and tattooing of skin were seen in the left periorbital region. Slit lamp examination revealed mild subconjunctival hemorrhage, mild conjunctival chemosis, multiple black sphere shaped gunpowder particles embedded in the lid margins, conjunctiva and corneal epithelium of left eye. At the central cornea there was a closed perforation and a paracentral crystalline lens perforation. The slit lamp examination also revealed an intralenticular foreign body. Multiple subconjunctival and superficial corneal gunpowder particles were removed using a 28-gauge needle. Deep stromal particles were left in their place, as there was a high risk of corneal perforation. There was no cataract formation in the lens. At the end of the sixth month, a few subconjunctival particles, a few deep stromal particles and an intralenticular particle in the left eye remained without any inflammatory reaction and cataract formation.

 


Multipl barut tanecikleri ile sol gözden derin ve yüzeyel yerleşimli korneal-konjonktival yaralanma vakası rapor edildi. 30 yaşındaki bir astsubay eğitim sırasında uçaksavar mermisinin patlaması sonucu yaralanmıştır. Sol gözü ve yüzünde aktive olmamış barut parçaları bulunmaktaydı. Görme düzeyleri Snellen eşeline göre sağ gözde 20/20 sol gözde 20/32 düzeyindeydi. Sol periorbital bölgede multipl barut parçaları ve tatuaj izlenmekteydi. Yarık lamba ile yapılan muayenede hafif subkonjonktival hemoraji, kemosiz, kapak kenarlarına, kornea ve konjonktivaya yapışık küre şekilli multipl siyah barut parçaları izlenmekteydi. Santral korneada kapalı perforasyon ve parasantral lens perforasyonu izlenmekteydi. Lens içerisinde yabancı cisim mevcuttu. Multipl subkonjonktival veyüzeyel barut parçaları 28 gauge iğne ile temizlendi. Korneal perforasyon nedeni ile derinde yerleşik olan partiküller çıkarılmadı. Lenste katarakt oluşumu izlenmedi. Altı aylık takibin sonunda intralentiküler, subkonjonktival ve korneal barut parçalarının herhangi bir inflamatuar reaksiyona sebebiyeti ve katarakt oluşturduğu gözlenmemiştir. 

.

Article Details

Gunpowder injury to the cornea and the lens

Authors: Fahrettin AKAY | Yıldıray YILDIRIM

Publisher: Ondokuz Mayıs University

Main Topics: Promotion of health

Journal: Journal of Experimental and Clinical Medicine 2012 Vol.29 Issue 3, pp.249-251

Document Type: Article

Publication Date: 10/2012

Document Language: English

Document ID (Org No.): 2000509311

Frequency: Quarterly

eISSN: 1309-5129

pISSN: 1309-4483

DOI: https://doi.org/10.5835/jecm.omu.29.03.018

Issues

Authors:

Fahrettin AKAY | Yıldıray YILDIRIM

Publisher:

Ondokuz Mayıs University

Main Topics:

Promotion of health

Journal:

Journal of Experimental and Clinical Medicine 2012 Vol.29 Issue 3, pp.249-251

Document Type:

Article

Publication Date:

10/2012

Document Language:

English

Document ID (Org No.):

2000509311

Frequency:

Quarterly

eISSN:

1309-5129

pISSN:

1309-4483

DOI:

https://doi.org/10.5835/jecm.omu.29.03.018