Metallic intraocular foreign body ~3mm in length with a scleral laceration near the limbus with preserved vision
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Intraocular Foreign Body
Nov 19 2025 by Nikhil Das, M.D.
A 34-year-old man presented with a right intraocular foreign body after hammering a carbon-steel chisel 12 hours after injury. CT orbits showed a 3-mm hyperattenuating foreign body within the right globe, centered in the vitreous cavity. BCVA was 20/40. Anterior segment examination revealed a 2.8-mm scleral laceration. DFE demonstrated a metallic IOFB, a superior air bubble, superior commotio retinae, and Berlin’s edema involving the macula.
Photographer: Nikhil Das, Saint Louis University School of Medicine
Condition/keywords: intraocular foreign body, metallic foreign body, scleral laceration
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Intraocular Foreign Body Scleral Lac
Nov 19 2025 by Nikhil Das, M.D.
A 34-year-old man presented with a right intraocular foreign body after hammering a carbon-steel chisel 12 hours after injury. CT orbits showed a 3-mm hyperattenuating foreign body within the right globe, centered in the vitreous cavity. BCVA was 20/40. Anterior segment examination revealed a 2.8-mm scleral laceration. DFE demonstrated a metallic IOFB, a superior air bubble, superior commotio retinae, and Berlin’s edema involving the macula.
Photographer: Nikhil Das, Saint Louis University School of Medicine
Imaging device: iPhone
Condition/keywords: intraocular foreign body, iofb, metallic foreign body, scleral laceration
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Intraocular Foreign Body CT Axial
Nov 19 2025 by Nikhil Das, M.D.
A 34-year-old man presented with a right intraocular foreign body after hammering a carbon-steel chisel 12 hours after injury. CT orbits showed a 3-mm hyperattenuating foreign body within the right globe, centered in the vitreous cavity. BCVA was 20/40. Anterior segment examination revealed a 2.8-mm scleral laceration. DFE demonstrated a metallic IOFB, a superior air bubble, superior commotio retinae, and Berlin’s edema involving the macula.
Photographer: Nikhil Das, Saint Louis University School of Medicine
Imaging device: CT Scan
Condition/keywords: intraocular foreign body, iofb, metallic foreign body, scleral laceration
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Intraocular Foreign Body CT Coronal
Nov 19 2025 by Nikhil Das, M.D.
A 34-year-old man presented with a right intraocular foreign body after hammering a carbon-steel chisel 12 hours after injury. CT orbits showed a 3-mm hyperattenuating foreign body within the right globe, centered in the vitreous cavity. BCVA was 20/40. Anterior segment examination revealed a 2.8-mm scleral laceration. DFE demonstrated a metallic IOFB, a superior air bubble, superior commotio retinae, and Berlin’s edema involving the macula.
Photographer: Nikhil Das, Saint Louis University School of Medicine
Imaging device: CT Scan
Condition/keywords: intraocular foreign body, iofb, metallic foreign body, scleral laceration