ABSTRACT

A 55 year old man admitted to our clinic with the complaint of penetration of a bucket handle to his left orbit. On examination he was conscious, cooperated and oriented. Neurological examination was normal. The ophthalmologic examination showed that his visual acuity was 20/20 in the right eye and counting Şngers from 2 feet in the left eye. Biomicroscopic examination was normal in the right eye. The left globe was normal other than edematous eyelids and subconjunctival hemorrhage. There was a large premacular hemorrhage left fundus examination. X-ray examination of the cranium and orbital computerized tomography showed that the tip of the hook had entered into the retroorbital space ithout penetrating the globe or any bony tissue. The optic nerve was found to be unaffected. Intravenous cephazoline sodium 1000 mg two times daily and gentamycin 80 mg two times daily were started with tetanus vaccination. The patient was taken to the operation room for removal of the foreign body and detection of any associated penetrating injury. During operation, the left globe was found totally intact. On the postoperative Şfth day, the preretinal hemorrhage opened into the vitreous cavity and the patient's visual acuity decreased to hand movement and light perception level. The intravitreal hemorrhage persisted in his follow-up, so pars plana vitrectomy was performed. 3 months after the operation his left eye the best corrected visual acuity was 20/60 and remained in this level.