Acute ocular pain during magnetic resonance imaging due to retained intraocular metallic foreign body: the role of ultrasonography and ultrasound biomicroscopy in diagnosis and management of this condition.

Authors:
Dr. Nikolaos Mamas, MD, PhD, FEBOphth
Dr. Nikolaos Mamas, MD, PhD, FEBOphth
Moorfields Eye Hospital
Medical Retina Fellow
London | United Kingdom
Konstantinos Andreanos
Konstantinos Andreanos
"G. Gennimatas" General Hospital of Athens
Greece
Dimitrios Brouzas
Dimitrios Brouzas
University of Athens
Andreas Diagourtas
Andreas Diagourtas
University of Athens
Greece
Ilias Georgalas
Ilias Georgalas
University of Athens
Greece
Dimitrios Papaconstantinou
Dimitrios Papaconstantinou
University of Athens
Irvine | United States

J Ultrasound 2018 Jun 2;21(2):159-163. Epub 2018 Mar 2.

First Department of Ophthalmology, National and Kapodistrian University of Athens, Mesogeion Ave 154, 15667, Athens, Greece.

Purpose: To report the case of a 65-year-old metalworker with no known history of ocular trauma, who suffered from intense ocular pain during magnetic resonance imaging (MRI) of the brain, due to a retained intraocular metallic foreign body (IOFB).

Case Report: Meticulous ophthalmological examination was inconclusive. An IOFB was confirmed with X-ray scan, whereas its exact localization was enabled by means of ultrasonography and ultrasound biomicroscopy (UBM).

Conclusions: Despite appropriate screening protocols, MRI-related ocular complications might occur in the presence of a hidden metallic IOFB. Clinical detection of ocular foreign bodies can sometimes be challenging. Ultrasonography and UBM are valuable adjuncts for the accurate localization, especially of small or hidden particles.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40477-018-0289-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5972104PMC

Still can't find the full text of the article?

We can help you send a request to the authors directly.
June 2018
12 Reads

Publication Analysis

Top Keywords

retained intraocular
8
resonance imaging
8
metallic foreign
8
foreign body
8
ultrasound biomicroscopy
8
ultrasonography ultrasound
8
magnetic resonance
8
intraocular metallic
8
pain magnetic
8
ocular pain
8
brain retained
4
biomicroscopy ubmconclusions
4
enabled ultrasonography
4
localization enabled
4
ubmconclusions despite
4
mri brain
4
protocols mri-related
4
screening protocols
4
appropriate screening
4
despite appropriate
4

References

(Supplied by CrossRef)
Article in Eur J Radiol
SJ Kim et al.
Eur J Radiol 2017
Article in AJNR Am J Neuroradiol
WM Kelly et al.
AJNR Am J Neuroradiol 1986
Article in Am J Ophthalmol
CN Ta et al.
Am J Ophthalmol 2000
Article in Clin Exp Ophthalmol
BJ Vote et al.
Clin Exp Ophthalmol 2001
Article in Magn Reson Imaging
DA Lawrence et al.
Magn Reson Imaging 2015
Article in Ophthalmology
F Kuhn et al.
Ophthalmology 1996
Article in Am J Roentgenol
MR Williamson et al.
Am J Roentgenol 1994
Article in Can J Ophthalmol
DW Parke 3rd et al.
Can J Ophthalmol 2013
Article in Ophthalmology
JG Chacko et al.
Ophthalmology 1997
Article in Eye
FM Bryden et al.
Eye 1990
Article in Radiology
MMJ McNicholas et al.
Radiology 1995

Similar Publications