"Untouched" Intra-ocular Foreign Body - Course Over 7 Years!

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File number: 59134


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    Appears in
    Miscellaneous
    Condition/keywords
    encapsulated intraocular foreign body
    Photographer
    Deependra Vikram Singh, Eye-Q Hospitals, Gurugram, INDIA
    Imaging device
    Fundus camera
    Kowa and Zeiss
    Description
    25-yr-old male presented to our retina clinic in 2007 with history of Hammer and chisel injury to left eye 2 months back. On examination BCVA in left eye was 20/20. Slit-lamp examination revealed iris hole and fundus examination showed an encapsulated metallic intraocular foreign body (IOFB) close to inferior arcade in left eye. Patient was advised Vitreous surgery with IOFB removal. Patient, however did not turn up for Surgery and revisited our clinic after seven years in 2014. On examination his BCVA was 20/20 in left eye and IOFB has reduced in size with brown siderotic deposits seen over IOFB capsule. Examination revealed posterior sub-capsular cataract but no siderotic changes with intraocular pressure (IOP) also being recorded as normal. In view of good visual acuity and no siderotic changes, he was advised regular follow up and ERG. Since most IOFBs would get timely removed by vitreous surgery, this Image capturing the natural course of a metallic IOFB is rare.

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