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When the eyeball has been penetrated by any extraneous material the resulting injury and probable subsequent irritation and inflammation is always regarded with the utmost concern by the surgeon in attendance. Even if the particle comprising the foreign body is very minute, if the impact has been sufficient to cause it to penetrate the walls of the eyeball and it has passed within the globe, it is a grave and serious condition. The prognosis is nearly always unfavorable, as it may immediately become a source of severe suppurative inflammation resulting in destruction of the eye, necessitating its enucleation, or if allowed to remain may eventually result in disease of the injured eye, or possible sympathetic irritation and inflammation of the fellow eye. Should a foreign body have entered the globe and only a moderate inflammation result, the question of its possibly becoming encysted and remaining quiescent, presents itself for consideration,
JOHNSON WB. QUIESCENT FOREIGN BODIES WITHIN THE EYEBALL WITH A REPORT OF CASES.Read before the Section on Ophthalmology, at the Forty-fourth Annual Meeting of the American Medical Association at Milwaukee. JAMA. 1893;XXI(16):566–568. doi:10.1001/jama.1893.02420680016002d
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