An unusual case of marble intraocular foreign body

Omoti, A E; Dawodu, O A; Ogbeide, OU

doi:10.4103/0974-9233.53375

Cited by 3 publications

(5 citation statements)

References 7 publications

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“…Intralenticular foreign bodies, especially metallic in origin, can cause a severe inflammatory reaction (lens induced uveitis and metallosis) 4. But certain intralenticular foreign bodies of inert material excite minimum inflammation and may remain quiescent for a long period 3. Our patient had a metallic foreign body but it may have been an alloy, the major constituent of which was relatively inert.…”

Section: Discussionmentioning

confidence: 78%

“…Intraocular foreign bodies resulting from penetrating ocular injuries are usually detected at the first visit. However a missed IOFB may present in different clinical aspects that may limit its detection, and symptoms may only become apparent after a prolonged period of time 3. We report a case of a missed metallic intraocular foreign body in the lens over a two-year period without causing severe inflammatory reaction and which presented with cataract later.…”

Section: Introductionmentioning

confidence: 95%

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A case of a retained intralenticular foreign body for two years

Güler¹,

Yılmaz²,

Yiğit³

et al. 2010

OPTH

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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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Section: Discussionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 95%

A case of a retained intralenticular foreign body for two years

Güler¹,

Yılmaz²,

Yiğit³

et al. 2010

OPTH

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show abstract

“…The foreign bodies may be classified as metallic or nonmetallic, with the metallic being divided into magnetic and nonmagnetic. They are also classified into toxic and nontoxic [ 3 ]. Intraocular foreign bodies can cause mechanical, and also chemical injury if they contain iron (siderosis) or copper (chalcosis), but the most important risk of a retained foreign body is infection.…”

Section: Discussionmentioning

confidence: 99%

“…Intraocular foreign bodies resulting from penetrating ocular injuries are usually detected at the first visit. However, missed IOFB may present in different clinical aspects that may limit its detection and symptoms may only become apparent after a prolonged period of time [ 3 ]. We report a case of a missed metallic intraocular foreign body in the anterior chamber over a 2-year period without causing severe inflammatory reaction and presented with uveitis later.…”

Section: Introductionmentioning

confidence: 99%

Anterior segment intraocular metallic foreign body causing chronic hypopyon uveitis

Güler¹,

Yılmaz

Arslanhan

et al. 2010

J Ophthal Inflamm Infect

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Intraocular foreign body (IOFB) is a common association of penetrating ocular trauma. Early diagnosis and removal of IOFBs especially if they are metallic is very important to determine further management and the final result of treatment. Missed IOFB may present in different clinical aspects that may limit its detection and symptoms may only become apparent after a prolonged period of time. We report a case of a missed metallic intraocular foreign body in the anterior chamber over a 2-year period without causing severe inflammatory reaction and presented with uveitis later. A 42-year-old man presented with a progressive blurring of vision, pain, photophobia, and redness in the left eye for 3 months. He had a history of traffic accident 2 years ago and he was accepted to intensive care unit for 3 days. Three months ago, in another center, he was admitted to hospital for 1 week and intravitreal antibiotics and medical treatment were given for pain, photophobia, and redness in his left eye. In five o’ clock meridian of the angle, there was an IOFB coated with hypopyon was observed under biomicrocopic magnification. Plain X-ray and computed tomography confirmed the foreign body in the left eye. After obtaining informed consent from the patient, the foreign body was removed under local anesthesia.

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“…If the IOFB is toxic, it should be removed as soon as possible. However, if the IOFB is inert, it may be managed conservatively with regular monitoring [1].…”

Section: Introductionmentioning

confidence: 99%

A Patient with an Inert Intraocular Foreign Body

Ng¹,

Goh²

2019

Cureus

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A 29-year-old man was brought to the hospital for treatment after an alleged workplace accident. Initial assessment revealed only mild chest injury and mild confusion, with no other injury. His vision was unaffected with no relative afferent pupillary defect. A computed tomography scan of the brain, performed to rule out brain injury, revealed an incidental finding of a foreign body in the left intravitreal cavity with no other significant findings. Further examination of his medical history revealed that he had experienced a trauma one year earlier, in which his left eye was pierced by a projectile. Immediately post-trauma, his vision had been reduced significantly, but improved over the next few weeks without medical treatment. The current examination of his left eye revealed a small hyperpigmented area on the sclera, representing the point of entry of his previous wound. An encapsulated foreign body was observed in the inferior intravitreal cavity, surrounded by retinal atrophy, and a normal posterior pole. He was managed conservatively without complications. The decision to remove a missed retained intraocular foreign body is complex and depends on multiple factors, including surgical difficulty and the composition, size, and location of the retained foreign body. Removal should be weighed against the possible serious complications of intraocular surgery. If removal is surgically difficult, or the retained material is inert, patients can be managed conservatively with regular monitoring.

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An unusual case of marble intraocular foreign body

Cited by 3 publications

References 7 publications

A case of a retained intralenticular foreign body for two years

A case of a retained intralenticular foreign body for two years

Anterior segment intraocular metallic foreign body causing chronic hypopyon uveitis

A Patient with an Inert Intraocular Foreign Body

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