Thermal ocular injury associated with retinal necrosis and vitreous inflammation: a case report

BackgroundA case of thermal ocular injury associated with retinal necrosis and vitreous inflammation is reported.Case presentationA 53-year-old man’s right eye was hit by a heated screw, which embedded directly into the nasal orbit. Two weeks after the foreign body was removed, serious vitreous infl...

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Bibliographic Details
Main Authors: Ruiping Gu, Yue Guo, Boya Lei, Rui Jiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1511514/full
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Summary:BackgroundA case of thermal ocular injury associated with retinal necrosis and vitreous inflammation is reported.Case presentationA 53-year-old man’s right eye was hit by a heated screw, which embedded directly into the nasal orbit. Two weeks after the foreign body was removed, serious vitreous inflammation and a large yellow–white lesion on the nasal peripheral retina, which resembled a subretinal abscess, were observed. Endophthalmitis could not be ruled out and vitrectomy was performed. During vitrectomy, we identified the yellow–white lesion as retinal necrosis and edema, with localized retinal detachment within the lesion. After surgery, there was significant macular atrophy with poor vision.ConclusionThermal retinal burns must be differentiated from infectious endophthalmitis to ensure timely anti-inflammatory treatment.
ISSN:2296-858X