Clinical presentations and surgical outcomes of intraocular foreign body presenting to an ocular trauma unit

Abstract Background Ocular siderosis is induced by a retained intraocular foreign body (IOFB) containing iron and can present as siderotic glaucoma. We report a rare case of histopathologically proven siderotic glaucoma in a middle-aged blacksmith with a preceding history of ocular trauma but no radiologically detectable IOFB. Case presentation A 42-year-old blacksmith presented with an elevation of intraocular pressure (IOP) in left eye showing iris heterochromia and brownish deposits throughout the trabecular meshwork (TM). Preoperative ophthalmic examination did not reveal any retained IOFBs. Electroretinography showed the classic changes of retinal degeneration in ocular siderosis. Histopathologic staining of the TM verified the presence of iron deposits. Conclusion This case underlines the importance of the close monitoring of patients with a history of ocular trauma and highlights the necessity of electroretinography, histopathologic study, and detailed ophthalmic examination in the diagnosis of siderotic glaucoma, even if there is no definite radiologically detectable IOFB.

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Occult intraocular foreign body presenting as squint

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v7i2.14975 ◽

2016 ◽

Vol 7 (2) ◽

pp. 178-181

Author(s):

Brijesh Takkar ◽

Anubha Rathi ◽

Shorya Azad

Keyword(s):

Foreign Body ◽

Epiretinal Membrane ◽

Foreign Bodies ◽

Ocular Trauma ◽

Anterior Segment ◽

Intraocular Foreign Body ◽

Fundus Examination ◽

Radio Imaging ◽

Trauma Case ◽

History Of

Background: We report a case of an occult retained intraocular foreign body detected four years after “forgotten” trauma. Case: A 23-year-old male presented with exodeviation and was referred as a case of epiretinal membrane. The anterior segment and adnexa were normal. Fundus examination revealed macular epiretinal membrane. An occult foreign body was localized in the retinal periphery. Imaging confirmed the diagnosis. Observation: Squint and epiretinal membrane may develop in cases of occult foreign bodies and may be the presenting sign years after trauma. Conclusion : A careful history of ocular trauma and thorough examination, complemented by radio imaging when needed, should be done in atypical cases.

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Penetrating Fish-Hook Ocular Injury: Management of an Unusual Intraocular Foreign Body

Case Reports in Medicine ◽

10.1155/2014/901285 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 5

Author(s):

Ludovico Iannetti ◽

Paolo Tortorella

Keyword(s):

Foreign Body ◽

Unusual Case ◽

Ocular Trauma ◽

Visual Outcome ◽

Intraocular Foreign Body ◽

Ocular Injury ◽

Entrance Wound ◽

Method Of Extraction ◽

Fish Hook ◽

Final Visual Outcome

Importance. Ocular penetrating fish-hook injuries represent an unusual and very dangerous ocular trauma. We report the management of an unusual case of a simple-single barbed fish-hook accident globe injury successfully treated with surgery.Observations. We described a case report of a caucasian 32-year-old man presented with a scleral perforation of the left eye caused by a fish-hook injury while fishing. The fish-hook penetrated the sclera, passed the trabecular meshwork, and exited into the anterior chamber. He underwent surgery under local anesthesia to remove the intraocular foreign body and to repair the wound. The hook was removed backing through the entrance wound, enlarge the primary scleral laceration. Final visual outcome, one month after trauma, was 0.0 LogMar.Conclusions and Relevance. Our unusual case shows a modified extraction technique of fish-hook from the eye. Although the fish-hook injury represents generally a serious occurrence, in some cases, a prompt and appropriate method of extraction can lead to a good final outcome.

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3434 Perforating ocular trauma without intraocular foreign body: A prognostic analysis

Vision Research ◽

10.1016/0042-6989(95)90344-5 ◽

1995 ◽

Vol 35 ◽

pp. S147

Author(s):

F. Goes ◽

B. Mashhour ◽

Y. Pouliquen

Keyword(s):

Foreign Body ◽

Ocular Trauma ◽

Intraocular Foreign Body ◽

Prognostic Analysis

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Frosted branch angiitis with penetrating ocular trauma and retained intraocular foreign body

Indian Journal of Ophthalmology ◽

10.4103/ijo.ijo_1276_17 ◽

2018 ◽

Vol 66 (7) ◽

pp. 1031

Author(s):

VG Madanagopalan ◽

CK Nagesha ◽

Girish Velis ◽

Santosh Devulapally ◽

S Balamurugan

Keyword(s):

Foreign Body ◽

Ocular Trauma ◽

Intraocular Foreign Body ◽

Frosted Branch Angiitis ◽

Penetrating Ocular Trauma

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EYES CANNOT SEE WHAT THE BRAIN DOES NOT KNOW

Malaysian Journal of Medical Research ◽

10.31674/mjmr.2021.v05i04.001 ◽

2021 ◽

Vol 5 (4) ◽

Author(s):

Aisyah Amirah binti Mohd Zahari ◽

Firdaus Ujang

Keyword(s):

Foreign Body ◽

Ocular Trauma ◽

Intraocular Foreign Body ◽

Definitive Treatment ◽

Full Thickness ◽

Report Result ◽

Angle Method ◽

The Brain ◽

Metal Foreign Body

Background: Intraocular foreign body (IOFB) is a common ocular trauma and is a leading cause of visual impairment. Majority of the cases reported the occurrence at the workplace and usually related to activities involving metallic objects. Hammering, drilling, explosion and usage of machining tools are among the causes of IOFB. Foreign body in the angle are frequently missed as it is not visualised directly during a routine examination. Thus, a thorough examination which includes gonioscopy and imaging must be done in all penetrating and full thickness cornea laceration cases. Purpose: We report a case of self-sealed full thickness cornea laceration with presence of metal foreign body in the angle. Method: Case Report Result: A 19 year-old boy, presented with right eye discomfort following trauma 1 week prior to presentation. Examination revealed a self-sealed full thickness cornea laceration at 1-2 o’clock with a foreign body found seated on the angle from gonioscopy. A foreign body consist of metal had successfully removed surgically with the facilitation of intraocular magnet. Conclusion: All self-sealed penetrating injury to the eye required a high index of suspicious of intraocular foreign body. An imaging and complete examination with dilated fundus examination and gonioscopy will be helpful to identify the location of foreign body. Hence, definitive treatment will prevent long term complication related to intraocular foreign body.

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