Combined Penetrating Keratoplasty Followed by Pars Plana Vitrectomy for Firecracker Induced Bilateral Corneal and Intraocular Foreign Body: A Case Report

  • Lily Rajbanshi Department of Ophthalmology, Biratnagar Eye Hospital, Rani Mills Area, Biratnagar, Nepal.
  • Archana Kumari Department of Ophthalmology, Biratnagar Eye Hospital, Rani Mills Area, Biratnagar, Nepal.
  • Sanjay Singh Department of Ophthalmology, Biratnagar Eye Hospital, Rani Mills Area, Biratnagar, Nepal.
Keywords: eye foreign body; eye injuries; keratoplasty, penetrating; vitrectomy.

Abstract

Firecracker induced open globe injury is a big challenge for ophthalmic surgeons. Its association
with the intraocular foreign body makes the diagnosis and treatment even more difficult resulting
in poor anatomical and visual outcomes. We report a case of a 35-year-old male who presented with
bilateral, multiple corneal and intraocular foreign body due to firecracker explosion. His vision was
limited to hand movement in both eyes. Combined penetrating keratoplasty and cataract surgery
were done in both eyes followed by pars plana vitrectomy for intraocular foreign body removal.
The final best-corrected visual acuity of the patient stood to be 6/6 and 6/9 in the right and left eye
respectively. The encouraging result in our case prompts ophthalmologists for a timely stepwise
multidisciplinary approach in all open globe injuries with intraocular foreign body cases having
poor initial acuity.

Published
2020-06-30
How to Cite
Rajbanshi, L., Kumari, A., & Singh, S. (2020). Combined Penetrating Keratoplasty Followed by Pars Plana Vitrectomy for Firecracker Induced Bilateral Corneal and Intraocular Foreign Body: A Case Report. Journal of Nepal Medical Association, 58(226). https://doi.org/10.31729/jnma.4932