DR. RUPALI BARNWAL

, Dr. RUHI GUNAY, Dr. MEHUL SHAH, Dr. SHREYA SHAH

Abstract

INTRODUCTION: ORBITO-OCULAR INJURIES WITH RETAINED INTRA-ORBITAL FOREIGN BODIES AFFECTING BOTH ORBITS ARE UNCOMMON IN CIVILIAN PRACTICE.

PATIENT CAME WITH VA PLPR+ WITH A H/O ACCIDENTAL BULLET INJURY ON RIGHT SIDE BEFORE 15 DAYS. PREVIOUSLY UNDERWENT SCLEROCORNEAL REPAIR AND CHOROIDECTOMY. MULTIPLE PELLETS WERE REMOVED AFTER SCALP EXPLORATION. EXAMINATION REVEALED CORNEAL EDEMA, ABRASIONS, ZONE 2 INJURY WITH SUTURES IN SITU, 8 BALL HYPHEMA. IOP WAS LOW (<7MMHG). SUBSEQUENTLY HE UNDERWENT VITRECTOMY FOR RETINAL DETACHMENT WITH ENDOLASER AND SETTLED BY SILICONE OIL. VITRECTOMY WAS PERFORMED AGAIN. PATIENT WAS KEPT ON TOPICAL ATROPINE, ANTIBIOTICS AND PREDNISOLONE(TAPERING) CONCLUSION- GUN SHOT INJURY IS AN EMERGENCY AND WHEN TREATED WITH INTENSIVE CARE CAN LEAD TO STABLE VISUAL PROGNOSIS AND FOR SYMPTOMATIC RELIEF OF PATIENT.