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Sonographic Evaluation of an Ocular Pellet Gun Injury

Children's Hospital Central California, Madera, CA, guthriej{at}hotmail.com.

Penetrating eye injuries are a very frightening finding at any age and for any reason. Most eye injuries can be avoided if proper safety measures are in place. This ophthalmic sonogram demonstrated a penetrating eye injury from a pellet gun with significant vitreous hemorrhage, total retinal detachment, and pellet fragments seen in the posterior sclera adjacent to the optic nerve. Gray-scale ophthalmic sonographic imaging using standard linear array transducers is an effective, noninvasive method to determine the location and size of a foreign body and associated vitreous and orbital pathology. If clinically indicated, color and spectral analysis can be used to evaluate blood flow in the vessels supplying the orbit.

Key Words: ophthalmic sonography • foreign body • pellet • vitreous hemorrhage • retinal detachment • optic nerve • globe • orbit

Journal of Diagnostic Medical Sonography, Vol. 23, No. 4, 200-203 (2007)
DOI: 10.1177/8756479307302565


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