Lianyungang Guangming Eye Hospital Successfully Performs First Third-Generation FCVB Surgery to Save Eyeball of Fireworks Injury Patient
Release time: Feb 28,2025
FCVB, a cutting-edge eyeball-preserving technology, provides new treatment options for patients with severe retinal detachment, ocular trauma, and silicone oil-dependent fundus diseases, offering critical hope for salvaging eyeballs.
"With the sound of firecrackers, the old year passes; warm spring brings new wine." During the Lunar New Year holiday, while people are immersed in joy and firecrackers add to the festive atmosphere, accidents caused by fireworks occur annually. On January 29, a patient in Lianyungang, Jiangsu Province, was urgently rushed to a local hospital after accidentally injuring his eye with firecrackers.
Case Overview
A 35-year-old male patient suffered a left eye injury from fireworks at approximately 18:30 on January 29, 2025, while setting off fireworks in his courtyard. He immediately experienced blurred vision, pain, and bleeding and sought treatment at a local hospital. An ocular CT scan showed an irregular shape of the left eyeball with increased intraocular density. For a definitive diagnosis, he was referred to another hospital, where he was diagnosed with "left globe rupture" and admitted. During hospitalization, he underwent "left globe laceration repair + exploration + eyelid laceration repair," followed by anti-inflammatory and mydriatic treatment, and was discharged on February 3. After discharge, he visited multiple hospitals, where "left eye evisceration" was recommended—a devastating prospect for the patient and family, who refused to accept eyeball removal. Fortunately, the patient, accompanied by family, came to Lianyungang Guangming Eye Hospital for further treatment, where he was admitted with a diagnosis of "left globe rupture, left vitreous hemorrhage, left hyphema, and left intraocular content prolapse."
Treatment Process
Upon evaluation by Professor Guan Xuegang’s team, the patient’s left eye was severely injured: visual acuity was NLP (no light perception), intraocular pressure was 4.7 mmHg, and traditional silicone oil treatment was infeasible. With limited options and the patient’s strong desire to save the eyeball, Professor Guan recommended a new eyeball-preserving technique after thorough communication:third-generation foldable capsular vitreous body (FCVB) surgery.
On February 18, Professor Guan’s team performed the third-generation FCVB surgery. Through a minimally invasive incision, the folded balloon was implanted into the eye, and silicone oil was injected via a drainage valve to support the retina and maintain intraocular pressure. The third-generation FCVB was successfully implanted. Postoperatively, the patient experienced no discomfort, the eyeball was preserved, the capsule position was ideal, and the patient was satisfied with the outcome, expressing heartfelt gratitude to the medical team.
Significance of the Case
This marks the first third-generation FCVB surgery at Lianyungang Guangming Eye Hospital. FCVB, a cutting-edge eyeball-preserving technology, provides new treatment options for patients with severe retinal detachment, ocular trauma, and silicone oil-dependent fundus diseases, offering critical hope for salvaging eyeballs.
Postoperative examination showed that the retinal holes in the right eye were located on the indentation position and attached well, and the rest of the examination results were basically the same as before.
