Intralenticular metallic foreign body – A case report

Abstract

A case of penetrating intraocular foreign body presented with a mild blurring of vision, without any ocular reaction. Intralenticular foreign bodies are sometimes missed and present with complications in the later stage including uveitis, traumatic cataract, endophthalmitis, and siderosis bulbi. We encountered a young male with an intralenticular metallic foreign body measuring 1 mm with a sealed corneal wound of entry measuring 1mm, confirmed with anterior segment optical coherence tomography (OCT). Metallic foreign body was visible within the lens matter after dilated anterior and posterior segment examination. Intralenticular foreign body was removed, and lens extraction was done with intraocular lens (IOL) implantation to prevent any ocular complications. Postoperatively, the vision improved to 6/6 with glasses.