The Silent Intruder: A Metallic Guest in the Retina

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File number: 134196


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    Appears in
    Miscellaneous
    Condition/keywords
    IOFB
    Photographer
    Dr Apoorva Jadhav
    Imaging device
    Fundus camera
    Description
    A 37-year-old male presented with a history of ocular injury from a metallic blade while working with an aluminum fabrication machine. Best-corrected visual acuity was 6/6. Anterior segment examination revealed an inferotemporal full-thickness corneal laceration (3 × 0.5 mm) and a corresponding iris defect. Posterior segment evaluation showed a normal optic disc and macula; however, a highly reflective intraocular foreign body(3x1.5mm) was noted superiorly abutting the retina, with adjacent air bubbles. CT orbit was advised, and a staged surgical plan including primary corneal repair followed by pars plana vitrectomy with foreign body removal was made.

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