A case of globe rupture crossing calcified senile scleral plaque
Purpose: To report a rare case of globe rupture with broken calcified senile scleral plaque (SSP). Observations: A 94-year-old male patient presented with left eye pain and severely decreased left vision immediately after the injury while farming. Examination of the left eye revealed edematous corne...
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Elsevier
2024-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993624001737 |
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| author | Makoto Gozawa Yusuke Orii Yoshihiro Takamura Masaru Inatani |
| author_facet | Makoto Gozawa Yusuke Orii Yoshihiro Takamura Masaru Inatani |
| author_sort | Makoto Gozawa |
| collection | DOAJ |
| description | Purpose: To report a rare case of globe rupture with broken calcified senile scleral plaque (SSP). Observations: A 94-year-old male patient presented with left eye pain and severely decreased left vision immediately after the injury while farming. Examination of the left eye revealed edematous cornea, diffuse subconjunctival hemorrhage, total hyphema and iris prolapse. Preoperative computed tomography (CT) scan revealed calcified SSP in both eyes, and the calcified SSP was found to be broken during surgery. Although it was impossible to thread the broken calcified SSP, threading and suturing with long bites outside of the broken calcified SSP was effective for wound closure. Postoperatively, we were able to observe the broken calcified SSP and the wound closure using anterior segment optical coherence tomography (AS-OCT). Conclusions and importance: In a case of globe rupture with calcified SSP on preoperative CT, the possibility that the SSP has also ruptured should be considered. AS-OCT is also useful to observe the wound in a case of globe rupture with broken SSP during follow-up. |
| format | Article |
| id | doaj-art-e906a75408ae4d06be5adf9531c3f41b |
| institution | DOAJ |
| issn | 2451-9936 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj-art-e906a75408ae4d06be5adf9531c3f41b2025-08-20T02:48:56ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-12-013610216310.1016/j.ajoc.2024.102163A case of globe rupture crossing calcified senile scleral plaqueMakoto Gozawa0Yusuke Orii1Yoshihiro Takamura2Masaru Inatani3Corresponding author. Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, 23-3 Shimoaizuki, Matsuoka, Eiheiji, Yoshida, Fukui 910-1193, Japan.; Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, JapanDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, JapanDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, JapanDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, JapanPurpose: To report a rare case of globe rupture with broken calcified senile scleral plaque (SSP). Observations: A 94-year-old male patient presented with left eye pain and severely decreased left vision immediately after the injury while farming. Examination of the left eye revealed edematous cornea, diffuse subconjunctival hemorrhage, total hyphema and iris prolapse. Preoperative computed tomography (CT) scan revealed calcified SSP in both eyes, and the calcified SSP was found to be broken during surgery. Although it was impossible to thread the broken calcified SSP, threading and suturing with long bites outside of the broken calcified SSP was effective for wound closure. Postoperatively, we were able to observe the broken calcified SSP and the wound closure using anterior segment optical coherence tomography (AS-OCT). Conclusions and importance: In a case of globe rupture with calcified SSP on preoperative CT, the possibility that the SSP has also ruptured should be considered. AS-OCT is also useful to observe the wound in a case of globe rupture with broken SSP during follow-up.http://www.sciencedirect.com/science/article/pii/S2451993624001737Ocular traumaGlobe ruptureSenile scleral plaqueAnterior segment optical coherence tomography |
| spellingShingle | Makoto Gozawa Yusuke Orii Yoshihiro Takamura Masaru Inatani A case of globe rupture crossing calcified senile scleral plaque American Journal of Ophthalmology Case Reports Ocular trauma Globe rupture Senile scleral plaque Anterior segment optical coherence tomography |
| title | A case of globe rupture crossing calcified senile scleral plaque |
| title_full | A case of globe rupture crossing calcified senile scleral plaque |
| title_fullStr | A case of globe rupture crossing calcified senile scleral plaque |
| title_full_unstemmed | A case of globe rupture crossing calcified senile scleral plaque |
| title_short | A case of globe rupture crossing calcified senile scleral plaque |
| title_sort | case of globe rupture crossing calcified senile scleral plaque |
| topic | Ocular trauma Globe rupture Senile scleral plaque Anterior segment optical coherence tomography |
| url | http://www.sciencedirect.com/science/article/pii/S2451993624001737 |
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