Patient: traumatic cataract in the left eye and intraocular foreign body in both eyes. Examination findings were 0.15 in the left eye and 0.8 in the right eye, with 15 degrees of deviation in the left eye (injured eye). The retina was normal and the lens of the left eye was cloudy to grayish white. The time of illness was October 20, when the detonator blew up. At that time, the left face and left eye were injured, and the doctor only did suturing of the face wound and said there was no problem with the eye. The doctor only did stitches on the face wound and said there was no problem with the eye. Now the appearance of the left eye (injured eye) is smaller than the right eye, the left eye cannot see and is afraid of light. The doctor at the local hospital said that there is also a foreign body in the other eye, and that both eyes should be filled with silicone oil to inflate, so I wonder if this can be cured. I found out online that silicone oil is used to treat retinal detachment, is it? The doctor clearly said that my brother’s retina is not detached and that he has normal vision in his right eye, so why do both eyes need to be filled with silicone oil? I have a lot of concerns, how should I treat it? Now that the surgery is postponed, will it affect the other eye? Can it be cured? Thank you! The left eye is 0.15, the right eye is 0.8, and the left eye (injured eye) is 15 degrees deviated. The retina is normal and the lens of the left eye is cloudy and grayish. Left eye keratitis with foreign body and cataract in the left eye.
Caiyu, Ophthalmology Department, Peking University First Hospital: Your brother’s condition is more complicated. At present, the diagnosis of traumatic cataract in the left eye is clear, and the vision is poor with exotropia. If the lens has ruptured, it will cause persistent inflammatory reaction in the eye, and this can cause serious problems such as corneal endothelial loss of compensation, which will eventually lead to blindness, and surgery should be done as soon as possible. It is important to check in detail for intraocular foreign bodies and retinal detachment before surgery, as they can have a great impact on the surgical approach and postoperative vision recovery. Filling with silicone oil is indeed one of the treatments for retinal detachment, and no retinal detachment should be injected with silicone oil. Where is the foreign body located in the right eye? I don’t know where you were examined, we suggest you come to the provincial hospital or Peking University Hospital for review, you can do eye ultrasound, X-ray, an experienced doctor will clarify your condition through examination.
Patient: The situation is complicated, my parents will take my brother to the hospital for treatment as soon as possible. I’m sorry that the hospital does not give copies of medical records, so I can’t tell you more about the condition. It’s been a long time since the accident. If the corneal endothelium has lost compensation and other serious problems, can it still be cured? Silicone oil is not used to wash foreign bodies?
Caiyu, Ophthalmology, Peking University First Hospital: I wonder how long has it been since the injury? It should be diagnosed and treated as soon as possible. As your brother is still very young, he should try to save the residual vision, but it is very difficult. Silicone oil is used to support the detached retina during retinal detachment surgery. If corneal endothelial loss occurs, a corneal transplant can be done, but the outcome of the surgery is related to the severity of the trauma.