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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 2 | Page : 634 |
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Intraocular air gun pellet
Amber Amar Bhayana, Shorya Vardhan Azad, Priyanka Prasad, Shashi Prakash, Antriksh Wahi
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
| Date of Web Publication | 13-Apr-2022 |
Correspondence Address:
Amber Amar Bhayana
Dr R P Centre for Ophthalmic Sciences, AIIMS, New Delhi - 110 029
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_2867_21
How to cite this article:
Bhayana AA, Azad SV, Prasad P, Prakash S, Wahi A. Intraocular air gun pellet. Indian J Ophthalmol Case Rep 2022;2:634 |
A 45-year-old otherwise healthy female had a post open globe injury subretinal air gun pellet for which we did a pars plana vitrectomy and lensectomy and explanted via a 9 mm corneal incision [Figure 1]a,[Figure 1]b,[Figure 1]c,[Figure 1]d,[Figure 1]e,[Figure 1]f and [Video 1][Additional file 1]. Air guns fire projectiles[1],[2],[3],[4],[5] pneumatically with compressed air without involving any chemical reactions involved in a normal firearm, in use for recreations and pest control. The air gun pellet was nonmagnetic, required use of foreign body grasping forceps (gripping at location of least dimension—here the neck–[Figure 1]d), and a circumferential corneal incision of 9 mm was required for a relatively diametrically small foreign body on account of its three-dimensional symmetrical configuration. We were able to successfully reattach the retina under oil tamponade, with best-corrected visual acuity 1/60, 2 months postoperatively. | Figure 1: (a) Air gun pellet in vitreous cavity; (b) iris hook retractors in situ, foreign body held with forceps, and corneal incision being made; (c) foreign body being exteriorized; (d) foreign body explanted; (e) transverse and longitudinal dimensions of the foreign body; and (f) foreign body in situ on CT scan
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Jafroodifar A, Thibodeau R, Goel A, Hanumaiah R. Wandering intravascular air gun BB pellet. Radiol Case Rep 2020;15:2627-31.  |
| 2. | Belmonte-Caro R, Garcia-Perla-Garcia A, Romero-Arce J, Infante-Cossio P. Penetración de un perdigón en el ápex orbitario [Penetrating air gun pellet into the orbital apex]. Neurocirugia (Astur) 2017;28:306-9. |
| 3. | Kim KH, Chung JH, Byun H, Zheng T, Jeong JH, Lee SH. Clinical characteristics of external auditory canal foreign bodies in children and adolescents. Ear Nose Throat J 2020;99:648-53. |
| 4. | Babin-Ebell J, Graf B, Sievers HH, Duebener LF. An air gun pellet retained in the heart: A case report. Heart Surg Forum 2008;11:E127-8. |
| 5. | Sharun K, Kumar R, Kalaiselvan E, Singh M, Rawat T, Saxena AC, et al. Diagnosis and surgical management of an intraocular foreign body secondary to ballistic wound in a Rhesus macaque (Macaca mulatta). Iran J Vet Res 2020;21:234-7. |
[Figure 1]
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