Undetected intraocular metallic foreign body causing hyphema in a patient undergoing MRI: a rare occurrence demonstrating the limitations of pre-MRI safety screening
Abstract The case reported is of a 47-year-old man with an undetected ferromagnetic metallic intraocular foreign body in the right eye who underwent elective MR examinations for chronic neck and low back pain. The patient underwent the MR scans and subsequently developed blurred vision in his right...
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| Veröffentlicht in: | Magnetic resonance imaging 2015-04, Vol.33 (3), p.358-361 |
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| creator | Lawrence, David A Lipman, Adam T Gupta, Sumeet K Nacey, Nicholas C |
| description | Abstract The case reported is of a 47-year-old man with an undetected ferromagnetic metallic intraocular foreign body in the right eye who underwent elective MR examinations for chronic neck and low back pain. The patient underwent the MR scans and subsequently developed blurred vision in his right eye caused by a hyphema associated with an anterior chamber metallic foreign body. Case reports of orbital injuries in patients with intraocular metallic foreign bodies undergoing MRI are rare, with only one prior report in the radiology literature. While the incidence of intraocular foreign bodies causing injury in patients undergoing MRI is likely rare even among patients with foreign bodies, this case demonstrates that complications from an IMFB can potentially have a subtle presentation. Our case also illustrates potential limitations of pre-MRI safety questionnaires, particularly pertaining to a patient's understanding of the thoroughness of foreign body removal. |
| doi_str_mv | 10.1016/j.mri.2014.12.009 |
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The patient underwent the MR scans and subsequently developed blurred vision in his right eye caused by a hyphema associated with an anterior chamber metallic foreign body. Case reports of orbital injuries in patients with intraocular metallic foreign bodies undergoing MRI are rare, with only one prior report in the radiology literature. While the incidence of intraocular foreign bodies causing injury in patients undergoing MRI is likely rare even among patients with foreign bodies, this case demonstrates that complications from an IMFB can potentially have a subtle presentation. Our case also illustrates potential limitations of pre-MRI safety questionnaires, particularly pertaining to a patient's understanding of the thoroughness of foreign body removal.</description><identifier>ISSN: 0730-725X</identifier><identifier>EISSN: 1873-5894</identifier><identifier>DOI: 10.1016/j.mri.2014.12.009</identifier><identifier>PMID: 25523608</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Chronic Pain - pathology ; Eye Injuries - physiopathology ; Foreign Bodies ; Humans ; Hyphema ; Hyphema - physiopathology ; Intraorbital metallic foreign body ; Low Back Pain - pathology ; Magnetic Resonance Imaging ; Male ; Metals - adverse effects ; Middle Aged ; MRI safety ; MRI screening questionnaire ; Neck Pain - pathology ; Patient Safety ; Radiology ; Surveys and Questionnaires ; Vision, Ocular</subject><ispartof>Magnetic resonance imaging, 2015-04, Vol.33 (3), p.358-361</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c511t-ad9e109defef06c43d177a5dc156ec3db7dbeb8b89d28cad2cefd50ddb50b9ba3</citedby><cites>FETCH-LOGICAL-c511t-ad9e109defef06c43d177a5dc156ec3db7dbeb8b89d28cad2cefd50ddb50b9ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.mri.2014.12.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25523608$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lawrence, David A</creatorcontrib><creatorcontrib>Lipman, Adam T</creatorcontrib><creatorcontrib>Gupta, Sumeet K</creatorcontrib><creatorcontrib>Nacey, Nicholas C</creatorcontrib><title>Undetected intraocular metallic foreign body causing hyphema in a patient undergoing MRI: a rare occurrence demonstrating the limitations of pre-MRI safety screening</title><title>Magnetic resonance imaging</title><addtitle>Magn Reson Imaging</addtitle><description>Abstract The case reported is of a 47-year-old man with an undetected ferromagnetic metallic intraocular foreign body in the right eye who underwent elective MR examinations for chronic neck and low back pain. The patient underwent the MR scans and subsequently developed blurred vision in his right eye caused by a hyphema associated with an anterior chamber metallic foreign body. Case reports of orbital injuries in patients with intraocular metallic foreign bodies undergoing MRI are rare, with only one prior report in the radiology literature. While the incidence of intraocular foreign bodies causing injury in patients undergoing MRI is likely rare even among patients with foreign bodies, this case demonstrates that complications from an IMFB can potentially have a subtle presentation. Our case also illustrates potential limitations of pre-MRI safety questionnaires, particularly pertaining to a patient's understanding of the thoroughness of foreign body removal.</description><subject>Chronic Pain - pathology</subject><subject>Eye Injuries - physiopathology</subject><subject>Foreign Bodies</subject><subject>Humans</subject><subject>Hyphema</subject><subject>Hyphema - physiopathology</subject><subject>Intraorbital metallic foreign body</subject><subject>Low Back Pain - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Metals - adverse effects</subject><subject>Middle Aged</subject><subject>MRI safety</subject><subject>MRI screening questionnaire</subject><subject>Neck Pain - pathology</subject><subject>Patient Safety</subject><subject>Radiology</subject><subject>Surveys and Questionnaires</subject><subject>Vision, Ocular</subject><issn>0730-725X</issn><issn>1873-5894</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk2L1TAYhYMozp3RH-BGsnTTmo-mHwqCDDoOjAjqgLuQJm_vzbVNOkkq9Af5P025owsX4iof73NO4Jwg9IySkhJavzyWU7AlI7QqKSsJ6R6gHW0bXoi2qx6iHWk4KRomvp2h8xiPhBDBuHiMzpjIm5q0O_Tz1hlIoBMYbF0KyutlVAFPkNQ4Wo0HH8DuHe69WbFWS7Rujw_rfIBJZQVWeFbJgkt4yU5h77f5x8_Xr_IkqADYa72EAE4DNjB5F_MjaYPSAfBoJ5vyMV9jP-A5QJG1OKoB0oqjDgAus0_Qo0GNEZ7erxfo9v27r5cfiptPV9eXb28KLShNhTIdUNIZGGAgta64oU2jhNFU1KC56RvTQ9_2bWdYq5VhGgYjiDG9IH3XK36BXpx85-DvFohJTjZqGEflwC9R0romVc677v4DFZwy3okqo_SE6uBjDDDIOdhJhVVSIrci5VHmIuVWpKRM5iKz5vm9_dJPYP4ofjeXgdcnAHIePywEGbXdUjY25Dql8faf9m_-UuvROqvV-B1WiEe_BJeDllTGLJBftp-0fSRaEcJrXvFfqFfIUQ</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Lawrence, David A</creator><creator>Lipman, Adam T</creator><creator>Gupta, Sumeet K</creator><creator>Nacey, Nicholas C</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20150401</creationdate><title>Undetected intraocular metallic foreign body causing hyphema in a patient undergoing MRI: a rare occurrence demonstrating the limitations of pre-MRI safety screening</title><author>Lawrence, David A ; 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| fulltext | fulltext |
| identifier | ISSN: 0730-725X |
| ispartof | Magnetic resonance imaging, 2015-04, Vol.33 (3), p.358-361 |
| issn | 0730-725X 1873-5894 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Chronic Pain - pathology Eye Injuries - physiopathology Foreign Bodies Humans Hyphema Hyphema - physiopathology Intraorbital metallic foreign body Low Back Pain - pathology Magnetic Resonance Imaging Male Metals - adverse effects Middle Aged MRI safety MRI screening questionnaire Neck Pain - pathology Patient Safety Radiology Surveys and Questionnaires Vision, Ocular |
| title | Undetected intraocular metallic foreign body causing hyphema in a patient undergoing MRI: a rare occurrence demonstrating the limitations of pre-MRI safety screening |
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