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Bui T, Bui A, Manocha M. An Itch to Dilate: A Case Report of an Intralenticular Foreign Body in a 57-Year-Old Man. Cureus 2024; 16:e69702. [PMID: 39429280 PMCID: PMC11490269 DOI: 10.7759/cureus.69702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/18/2024] [Indexed: 10/22/2024] Open
Abstract
A 57-year-old man presented with a foreign body sensation in the left eye after using a metal pellet air gun seven days prior. Following an unremarkable exam at urgent care, the patient was prescribed topical ointment and instructed to follow up with an ophthalmologist for continued problems. At ophthalmology, the patient reported decreased vision of 20/30 and pain with accommodation in the left eye. Intraocular pressure was 16 mmHg. A slit lamp examination of the left eye showed full thickness horizontal scarring superior to the visual axis with a negative Seidel sign. The iris was normal, and the anterior chamber was deep and quiet. There was a slight abnormal aberration of light in the lens on retro-illumination. After dilation, a large metallic foreign body inferiorly embedded in the anterior lens was noted, violating the anterior capsule. The foreign body was successfully removed using a magnetic probe. Following lens phacoemulsification and the removal of cortical material, the capsular bag was noted to be intact. An intraocular lens implant was placed and well-centered. The patient experienced no complications, and his vision improved to 20/20 the subsequent day. This case report demonstrates the need for high clinical suspicion of embedded foreign bodies in patients near high-speed projectiles and the importance of dilation to rule out the presence of intralenticular foreign bodies.
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Affiliation(s)
- Tommy Bui
- Ophthalmology, Southeast Campus of the Medical College of Georgia, St. Joseph's/Candler Health System, Savannah, USA
| | - Anh Bui
- Arts and Science, McMaster University, Hamilton, CAN
| | - Mark Manocha
- Ophthalmology, Augusta University Medical College of Georgia, Savannah, USA
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Clinical Characteristics and Visual Outcomes in Patients with Intralenticular Foreign Bodies with Self-Sealing Corneal Penetrating Wounds. J Ophthalmol 2021; 2021:6613205. [PMID: 34239720 PMCID: PMC8241495 DOI: 10.1155/2021/6613205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 05/19/2021] [Accepted: 06/11/2021] [Indexed: 11/17/2022] Open
Abstract
Purpose Siderosis bulbi may occur as a result of retained intralenticular foreign bodies (ILFBs) that were missed during examination in patients with self-sealing wounds and without a significant decrease in visual acuity. This study aimed to explore the clinical characteristics and visual outcomes of ILFBs with self-sealing corneal penetrating wounds. Methods Fifteen eyes of 15 patients with ILFBs and self-sealing corneal penetrating wounds, seen between October 2014 and September 2019, were retrospectively analyzed. Data regarding the patient demographics, clinical features, surgical procedure, and initial and final best-corrected visual acuity (BCVA) were analyzed. Results All patients were male with a mean age of 41 years. The foreign bodies passed through the cornea, sometimes through the iris, through the anterior capsule, and finally localized in the lens. All ILFBs were pointed and metallic objects and were successfully removed with phacoemulsification and posterior chamber intraocular lens (IOL) implantation. Anterior capsule violation was found in three eyes, but no posterior capsule rupture was found. The IOL was placed in a capsule bag in all the cases. The BCVA ranged from 20/200 to 20/25 preoperatively and improved to between 20/32 and 20/20 at the last follow-up visit. The IOLs were well-centered. Apart from posterior capsule opacity in four eyes, no other postoperative complications were found. Conclusions In patients with a pointed metallic ILFB and self-sealing corneal penetrating wounds (with or without cataracts), early diagnosis and removal of the metallic ILFB combined with lens removal and IOL implantation may avoid late complications and achieve good visual outcomes.
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Nowak R. Ocular siderosis resulting from a retained intralenticular metallic foreign body. BMJ Case Rep 2020; 13:13/6/e235228. [PMID: 32540881 DOI: 10.1136/bcr-2020-235228] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Intraocular foreign bodies are a potential factor threatening with loss of vision. The development of cataract and symptoms of ocular siderosis are the most common signs of ferrous metal entering the eye. We present a case of a 45-year-old man who reported to the hospital for planned cataract surgery. He denied the possibility of any past eye injury. Despite this, apart from the cataract, X-ray and CT scans confirmed the presence of an intralenticular foreign body and symptoms of ocular siderosis. Cataract surgery was successfully performed using phacoemulsification, and the metallic foreign body was removed. Intraocular foreign body symptoms may be overlooked by patients and even physicians and may occur with considerable delay. Hence, in patients with indirect symptoms of penetrating eye injury, the presence of an intraocular foreign body should not be ruled out, even if the patient denies this possibility.
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Affiliation(s)
- Rafal Nowak
- Eye Department, J. Strus City Hospital, Poznan, Poland
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Meshksar A, Azimi A. Intralenticular Cilia Following Penetrating Ocular Trauma: A Case Report. IRANIAN JOURNAL OF MEDICAL SCIENCES 2019; 44:176-179. [PMID: 30936606 PMCID: PMC6423428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Penetrating ocular trauma is one of the most important causes of vision loss, especially in men, and can be associated with intraocular foreign bodies. The incidence of intraocular cilia after trauma is very low. Here we report the case of a 24-year-old man who visited Poostchi Ophthalmology Clinic (Shiraz, Iran) due to a gradual vision loss in his left eye over the past 2 months. The probable cause was a foreign object (metal splinter) in the eye as a result of hammering metal on metal. An examination revealed the site of a 2-mm sealed corneal laceration, localized central cataract with intralenticular cilia, and moderate anterior reaction. The patient underwent foreign body removal, lensectomy, and posterior chamber intraocular lens implantation. One day after the operation, the visual acuity of the patient was 20/20. The intraocular cilia may have various clinical presentations; however, there is no report of a case with cilium embedded in the lens without any sight-threatening complications other than localized cataract and a moderate inflammatory reaction. Timely management and operation allow such patients to maintain a good vision.
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Pterygium surgery combined with the removal of a missed occult iris foreign body detected incidentally during pterygium examination: a case report. BMC Ophthalmol 2019; 19:4. [PMID: 30612546 PMCID: PMC6322343 DOI: 10.1186/s12886-018-1020-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Accepted: 12/27/2018] [Indexed: 12/14/2022] Open
Abstract
Background An occult foreign body may be retained in patient with small self-sealing wound and no decreased visual acuity without complete examination. Here we report a case of a retained occult ferrous iris foreign body detected incidentally during pterygium examination. Case presentation A 69-year-old man presented to our ophthalmology department because of foreign body sensation and persistent redness in both eyes for 2 years. In the left eye, a pterygium, paracentral corneal opacity and a vertically oval pupil were observed. Ultrasound biomicroscopy and gonioscopy revealed a retained metallic-like foreign body partially embedded in the inferior peripheral iris. Pterygium surgery and the removal of the retained iris foreign body were performed simultaneously. No recurrent pterygium or residual foreign body was found during follow-up. Conclusions A thorough history should be obtained and complete physical examination should be performed in patients with ocular self-sealing wounds to prevent missed intraocular foreign bodies, which may result in potential sight-threatening ocular complications.
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Choi Y, Eom Y, Choi SY, Lee BY, Kim EJ, Kang SY, Song JS, Kim HM. Endophthalmitis after Removal of an Intralenticular Foreign Body in Place without Symptoms for 20 Years. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2019. [DOI: 10.3341/jkos.2019.60.5.480] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Young Choi
- Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
| | - Youngsub Eom
- Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
| | - Soo Youn Choi
- Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
| | - Bo Young Lee
- Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
| | - Eun Jee Kim
- Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
| | - Su-Yeon Kang
- Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
| | - Jong Suk Song
- Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
| | - Hyo Myung Kim
- Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
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Lin YC, Kuo CL, Chen YM. Intralenticular foreign body: A case report and literature review. Taiwan J Ophthalmol 2019; 9:53-59. [PMID: 30993070 PMCID: PMC6432851 DOI: 10.4103/tjo.tjo_88_18] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
day, a zonal cortical cataract and posterior subcapsular cataract formed rapidly. Left-eye bare vision dramatically decreased from 20/100 to counting fingers. One month later, the patient received elective extracapsular cataract extraction. A fine metal thread was completely embedded in the lens; the lens and FB were removed together during the operation. The posterior capsule was not injured; an intraocular lens was implanted in the capsular bag. Two months postoperatively, left-eye vision had returned to 20/25. No adverse events were noted during the follow-up period. In addition to the case report, some 28 previously reported cases of intralenticular FB are reviewed here. Patient demographics, time and course of management, and visual outcome are all summarized and compared.
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Affiliation(s)
- Yen-Chun Lin
- Department of Ophthalmology, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan
| | - Chin-Liang Kuo
- Department of Ophthalmology, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan
| | - Yan-Ming Chen
- Department of Ophthalmology, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.,Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan
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Lee JH, Han SB, Lee SJ, Kim M. Long-standing asymptomatic intralenticular foreign body. KOREAN JOURNAL OF OPHTHALMOLOGY 2015; 28:423-4. [PMID: 25276085 PMCID: PMC4179120 DOI: 10.3341/kjo.2014.28.5.423] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Affiliation(s)
- Jang-Hun Lee
- Department of Ophthalmology, Kangwon National University School of Medicine, Chuncheon, Korea
| | - Sang Beom Han
- Department of Ophthalmology, Kangwon National University School of Medicine, Chuncheon, Korea
| | - Seung-Jun Lee
- Department of Ophthalmology, Kangwon National University School of Medicine, Chuncheon, Korea
| | - Moosang Kim
- Department of Ophthalmology, Kangwon National University School of Medicine, Chuncheon, Korea
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Shah MA, Shah SM, Teori P, Israni A. Lens siderosis resulting from a small intralenticular metallic foreign body. GMS OPHTHALMOLOGY CASES 2015; 5:Doc12. [PMID: 27625956 PMCID: PMC5015631 DOI: 10.3205/oc000034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
We report a rare case of lens siderosis with an undetectable intraocular foreign body by imaging. An 8-year-old boy presented with diminution of vision in the left eye since 3 months. His parents gave a preceding uncertain history of a foreign body injury to his left eye 3 months ago while playing. Presenting visual acuity in the left eye was perception of hand movements. Slit-lamp examination revealed a total white cataract with brownish-pigmented spots on the anterior capsule of the lens, but no intraocular foreign body was found. There was also no evidence of an intraocular foreign body on ultrasonography. Patient underwent cataract extraction with intraocular lens implantation. During the operation, a small (2×1×1 mm in size) intralenticular foreign body of metal material was found and removed carefully with a magnet. The patient regained 20/30 vision after surgery.
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Reddy SC. Intralenticular metallic foreign body: a case report. Int J Ophthalmol 2011; 4:326-8. [PMID: 22553673 DOI: 10.3980/j.issn.2222-3959.2011.03.25] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2011] [Accepted: 04/22/2011] [Indexed: 01/12/2023] Open
Abstract
A case of retained intralenticular iron piece with signs of mild anterior uveitis at the time of presentation is reported in a 45 year-old man. His vision improved with topical cycloplegics and corticosteroids. After six months, his vision deteriorated grossly due to cataract formation. He regained good vision following removal of foreign body, extracapsular extraction with posterior chamber intraocular lens implantation. This case highlights the conservative management of the condition till the patient develops cataract resulting in visual disability; and good visual recovery following cataract surgery with intraocular lens implantation.
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Affiliation(s)
- S C Reddy
- Department of Ophthalmology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
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Abstract
INTRODUCTION We present a patient with perforative eye injury, a metal foreign body in the lens and traumatic cataract. The paper emphasises the importance of phacoemulsification in case of patients with a traumatic cataract and the presence of a metal foreign body. CASE OUTLINE A 41-year-old patient had a perforative wound of the cornea caused by a metal foreign body that also perforated the anterior lens capsule and remained in the paracentral anterior part of the lens. The injury, which happened upon hitting of a hammer against a metal object, showed the presence of a tangential wound of the cornea adapted edges, and a formed anterior eye chamber. The presence of a metal spear-shaped foreign body was partly inside the anterior eye chamber and partly in the central area of the lens. The visual acuity of the injured eye was 0.2. The technique of removing the foreign body out of the lens and the phacoemulsification of the lens with the implantation of intraocular lens is presented. The paracentral wound on the cornea was not sutured because of well-adapted edges. On the first postoperative day there were no inflammatory signs, and best uncorrected visual acuity of 0.8. CONCLUSION Posttraumatic cataracts with a metal foreign body in the lens require operative treatment in order to remove the foreign body, phacoemulsification and implantation of artificial lens. Because of anterior capsule lesion, special care should be taken in regard to anterior capsulorhexis and appropriate hydrodisection. Ocular hypotonia and possible damage of the posterior capsule in some cases can make phacoemulsification more difficult to perform.
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Han ER, Wee WR, Lee JH, Hyon JY. A case of retained graphite anterior chamber foreign body masquerading as stromal keratitis. KOREAN JOURNAL OF OPHTHALMOLOGY 2011; 25:128-31. [PMID: 21461226 PMCID: PMC3060390 DOI: 10.3341/kjo.2011.25.2.128] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2008] [Accepted: 04/06/2010] [Indexed: 11/23/2022] Open
Abstract
We report a case of a retained graphite anterior chamber foreign body that was masquerading as stromal keratitis. A 28-year-old male visited with complaints of visual disturbance and hyperemia in his right eye for four weeks. On initial examination, he presented with a stromal edema involving the inferior half of the cornea, epithelial microcysts, and moderate chamber inflammation. Suspecting herpetic stromal keratitis, he was treated with anti-viral and anti-inflammatory agents. One month after the initial visit, anterior chamber inflammation was improved and his visual acuity recovered to 20/20, but subtle corneal edema still remained. On tapering the medication, after three months, a foreign body was incidentally identified in the inferior chamber angle and was surgically removed resulting in complete resolution of corneal edema. The removed foreign body was a fragment of graphite and he subsequently disclosed a trauma with mechanical pencil 12 years earlier. This case showed that the presence of an anterior chamber foreign body should always be considered in the differential diagnosis of idiopathic localized corneal edema.
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Affiliation(s)
- Eun Ryung Han
- Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea
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Macsai MS. Surgical Management and Rehabilitation of Anterior Segment Trauma. Cornea 2011. [DOI: 10.1016/b978-0-323-06387-6.00154-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Mete G, Turgut Y, Osman A, Gülşen U, Hakan A. Anterior segment intraocular metallic foreign body causing chronic hypopyon uveitis. J Ophthalmic Inflamm Infect 2010; 1:85-7. [PMID: 21484173 PMCID: PMC3102852 DOI: 10.1007/s12348-010-0011-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2010] [Accepted: 10/22/2010] [Indexed: 11/24/2022] Open
Affiliation(s)
- Güler Mete
- Department of Ophthalmology, Harput State Hospital, 23119, Elazığ, Turkey,
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Güler M, Yilmaz T, Yigit M, Ulkü G, Arslan S. A case of a retained intralenticular foreign body for two years. Clin Ophthalmol 2010; 4:955-7. [PMID: 20856588 PMCID: PMC2938273 DOI: 10.2147/opth.s12635] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2010] [Indexed: 11/23/2022] Open
Abstract
We report a case of a missed metallic intraocular foreign body retained in the lens over a two-year period without causing inflammatory reaction, which presented with cataract later. A 24-year-old man presented with a progressive blurring of vision in the left eye for two years. He had had a history of metal-on-metal activity two years before. He had pain for one day in left eye and it was healed by the following day. Biomicroscopic examination revealed cataract, an intralenticular foreign body, and a corneal scar at seven o’clock meridian of the cornea in the left eye. Best-corrected visual acuity was 20/200 in the left eye. Intralenticular foreign body removal, phacoemulsification, and an intraocular lens implantation was performed under local anesthesia. The intralenticular foreign body was metallic and its size was about 2 × 2 mm. Two weeks after the operation best corrected visual acuity was 20/20 in left eye. A retained foreign body should be considered in each patient with a history of penetrating ocular trauma and all efforts must be made to exclude presumptive diagnosis of intraocular foreign body.
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Affiliation(s)
- Mete Güler
- Department of Ophthalmology, Elazıǧ Harput State Hospital, Turkey.
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