Diagnosis of X-ray negative intraocular foreign bodies
DOI: 10.32364/2311-7729-2025-25-2-7
A.S. Chernakov1, G.Sh. Arzhimatova1,2, A.D. Rumiantsev1, N.S. Ryazantsev1
1Botkin Hospital, Moscow, Russian Federation
2Russian Medical Academy of Continuous Professional Education, Moscow,
Russian Federation
The paper is focused on diagnosis of X-ray negative intraocular foreign bodies (IOFB) made of wood, plastic, and glass that require a special diagnostic technique. The main IOFB imaging methods (computed tomography [CT], considered as the "gold standard" of diagnosis, magnetic resonance imaging [MRI], ultrasonography [US] and radiography) are addressed. Although CT provides high sensitivity (up to 100% for metals) due to slice thickness (from 0.5 mm), it is less efficient to detect wooden and plastic IOFB. In these cases, CT should be combined with MRI and US. Even as MRI is an efficient method to detect organic materials, absence of metallic IOFB should be confirmed before a start of the investigation. US is a versatile technique, but it depends on a physician's skills and its application is limited in persons with open eye injuries. As radiography yields little information, it is used in the absence of CT only. As for the clinical case report, radiography and US failed to detect an IOFB in a patient with a penetrating eye injury. Nevertheless, it was revealed by CT. Vitrectomy followed by exploration of the vitreal cavity provided IOFB removal and appropriate retinal adaptation. The clinical case report highlights a need for a comprehensive diagnostic technique with a priority of CT combined with MRI and US to detect non-metallic IOFB.
Keywords: eye injury, intraocular foreign body, computed tomography, radiography, magnetic resonance imaging, ultrasonography.
For citation: Chernakov A.S., Arzhimatova G.Sh., Rumiantsev A.D., Ryazantsev N.S. Diagnosis of X-ray negative intraocular foreign bodies. Russian Journal of Clinical Ophthalmology. 2025;25(2):124–130 (in Russ.). DOI: 10.32364/2311-7729-2025-25-2-7
ABOUT THE AUTHORS:
Alexander S. Chernakov — Ophthalmologist of MCOC, Botkin Hospital; 5, 2nd Botkinskiy pass., Moscow, 125284, Russian Federation; ORCID iD 0009-0008-8536-0553
Gulzhiyan Sh. Arzhimatova — C. Sc. (Med.), Head of of MCOC, Botkin Hospital; 5, 2nd Botkinskiy pass., Moscow, 125284, Russian Federation; Assistant Professor of the Department of Ophthalmology, Russian Medical Academy of Continuous Professional Education; build. 1, 2/1, Barrikadnaya str., Moscow, 125993, Russian Federation; ORCID iD 0000-0001- 9080-3170
Alexander D. Rumiantsev — C. Sc. (Med.), Ophthalmologist, of MCOC, Botkin Hospital; 5, 2nd Botkinskiy pass., Moscow, 125284, Russian Federation; ORCID iD 0009-0000-9454- 4786
Nikita S. Ryazantsev — Ophthalmologist of MCOC, Botkin Hospital; 5, 2nd Botkinskiy pass., Moscow, 125284, Russian Federation; ORCID iD 0009-0007-3259-835X
Contact information: Alexander S. Chernakov, e-mail: doctor-chernakov@yandex.ru
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interest.
Received 12.03.2025.
Revised 04.04.2025.
Accepted 29.04.2025.
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