OBJECTIVE We describe a modified technique for performing lamellar dissection in deep anterior lamellar keratoplasty after failure to achieve a "big bubble" detachment of Descemet's membrane (DM) with deep intrastromal pneumatic injection. METHODS The technique utilizes blunt lamellar dissection with blunt-tipped corneal mini scissors as an alternative to a crescent blade, which can be diffic...

Blunt vascular trauma of the lower extremities brings about a high amputation rate, because other organ injuries disturb revascularization. We experienced a case of a superficial femoral artery occlusion caused by blunt trauma. The patient also had a femoral bone fracture and a large skin defect with deep muscular injuries of the thigh. We performed a femoropopliteal (FP) bypass using a sapheno...

The spleen is one of the organs most frequently injured in blunt abdominal trauma. Computed tomography (CT) scanning can accurately detect splenic injury and is currently the imaging modality of choice in assessing clinically stable patients with blunt abdominal trauma. The CT features of spleen injury include lacerations, subcapsular or parenchymal haematomas, active haemorrhage, and vascular ...

INTRODUCTION Large macular holes secondary to blunt trauma are sometimes seen in young patients within the spectrum of alterations produced by ocular trauma. METHODS Observational case report. A 32-year-old woman who had received a blunt trauma (a blow from a fist) to her right eye 10 years previously had experienced a decrease in visual acuity ever since. RESULTS Clinical photographs, fluo...

A traumatic right diaphragmatic rupture is an uncommon condition, as it occurs in 0.8-3.6% after blunt trauma. It is challenging to find the diagnosis immediately and is illustrated by the incidence of 12-66% initially missed diagnosis (1). Most blunt traumatic diaphragm ruptures are an indication for early aggressive surgical intervention by way of thoracotomy, laparotomy, or both if it is nec...

Cardiac contusions (contusio cordis) usually appear in penetrating thoracic trauma or high energy blunt trauma and only rarely in thoracic blunt trauma in homicidal context. The diagnosis could be easy if a traumatic context is/can be proven; if not the differential diagnosis with myocardial infarction, other causes of cardiac hemorrhages or post resuscitation cardiac trauma can be very difficu...

An 18-year-old male soccer player was transferred from the clinic to our emergency center with suspected blunt renal trauma. A giant ureteropelvic junction (UPJ) obstructed hydronephrosis in blunt renal trauma was revealed by enhanced computed tomography and angiography. The patient then underwent insertion of a double “J” stent and was placed under close observation in the intensive care unit....

Traumatic perforation of the cervical esophagus due to blunt trauma is a very rare condition which continues to be associated with significant mortality rates. The symptoms and signs of this injury are often masked by or ascribed to more common blunt thoracic injuries. This paper presents a case of cervical esophageal perforation secondary to blunt trauma resulting from a car accident. The inju...

hydatid cyst is a serious parasitic infection in places which people has a close contact with dogs or sheep. they may be found as an incidental findings during routine clinical examination or even followed by radiographic or ultrasonography evaluation. the disease becomes more complicated if rupture of the cysts occurs due to blunt trauma or spontaneously increases of intra-cystic pressure. her...

Blunt trauma is uncommonly followed by intracardiac valvar injuries. The resulting valvar insufficiency rapidly or progressively leads to congestive heart failure or death unless surgically corrected. Three patients with sustained blunt chest trauma were found to have two aortic valve and one mitral valve ruptures. They had variable clinical courses. However, after the diagnosis was established...