The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
	The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Nail injury

by Professor Chua Chung Nen

This man was holding a nail against the wall while his friend was hammering. Unfortunately, the nail bounded and hit his right eye. Examination showed the nail entered the right nasal sclera. CT scan showed the nail penetrate but did not perforate the globe. The nail was removed followed by primary repair under general anaesthesia. Intravitreal antibiotics (vancomycin and amikacin) were given to prevent infective endophthalmitis.

Nail entering the right nasal sclera.

Close-up view of the injury.

Coronal CT scan showing penetration of the right globe.

Saggital view of the penetration.

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