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A case of a retained intralenticular foreign body for two years

Authors Guler M, Yilmaz T, Yiğit M, Ülkü G, Arslan S

Published 30 August 2010 Volume 2010:4 Pages 955—957


Review by Single-blind

Peer reviewer comments 3

Mete Güler1, Turgut Yilmaz2, Mehmet Yigit2, Gülsen Ülkü2, Sermal Arslan2

1Department of Ophthalmology, Elazig Harput State Hospital, Turkey; 2Departmant of Ophthalmology, Elazig Education and Research Hospital

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.

Keywords: cataract, intralenticular foreign body, penetrating intraocular injury

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