Three dimensional computed tomography application for ocular foreign bodies visualization

Abstract

Abstract Purpose To present 3 cases reports of eye injuries and application of three dimensional computed tomography (3DCT) for the ocular foreign bodies (FB) localization. Methods Case 1. 34 years old female was admitted to hospital because of the right eye injury during a car accident. Giant glass fragment in the right orbit was visible, extent of the lesion was obscure. Case 2. 49 years old male was admitted to hospital because of the right eye open globe injury. The fishing hook in the right eye cornea, laceration of the iris, and traumatic cataract were found. Case 3. 36 years old male was admitted to hospital because of the left eye open globe injury with a drill fragment. After the pupil dilatation the FB in the lens was detected. In all cases X‐ray examination, single slice computer tomography (SSCT) and 3DCT reconstruction images were performed. Results Data of 3DCT allowed discovering extent of the injury and localization of the FB. Patients were operated, FB’s were removed. In case 1 periocular skin lacerations were sutured recovering anatomical and functional tissue integrity. In case 2 and 3 extraction of traumatic cataracts and intraocular lens implantation were performed. Conclusion Conventional radiological methods such as X‐ray examination and SSCT can be insufficient suggesting complex eye trauma cases. 3DCT is informative tool and helps to determine the location of the FB and extent of the injury.