Atypical Case of Retained Intraocular Foreign Body Presenting as Secondary Glaucoma After 12 Years

Pujar, Chandrakant; Narayan, Madhusudana; Sushma, Sai; Prabhu, Prabhu; Padmini, Padmini

doi:10.14260/jemds/2015/320

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…However, in the case of small foreign bodies locating at the anterior chamber angle, they may not be detected or removed promptly. Thus, in patients with an unclear history of trauma and insignificant symptoms, intraocular foreign bodies may be missed [1], [2].…”

Section: Introductionmentioning

confidence: 99%

Bullous Keratopathy Secondary to Anterior Chamber Angle Foreign Body

Dong¹,

Duong²,

Cung³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND: Penetrating ocular trauma with intraocular foreign body is a serious injury often resulting in loss of vision. Anterior chamber foreign bodies account for a considerable portion of all cases of all intraocular foreign bodies (up to 15%); however, they can be missed due to inconspicuous location. CASE REPORT: We report two cases of retained intraocular foreign bodies in the iridocorneal angle that was missed at the first ophthalmic examination. They were only discovered when complications occurred, such as corneal edema and increased intraocular pressure. In the case whereby the foreign body was taken out early, corneal damages were reversible. However, in the case whereby the foreign body was taken out late, endothelial damage was irreversible and endothelial transplantation was needed. CONCLUSION: Regarding trauma patients, a careful examination should be performed to discover foreign bodies in the iridocorneal angle. If local peripheral corneal edema occurred, attention should be paid to the trauma history and to timely discovery of the foreign body. This will prevent any irreversible corneal damages.

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Section: Introductionmentioning

confidence: 99%

Bullous Keratopathy Secondary to Anterior Chamber Angle Foreign Body

Dong¹,

Duong²,

Cung³

et al. 2019

Open Access Maced J Med Sci

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“…However only a few numbers of cases of foreign body in the angle were reported (Katyayani, Chandran & Vijayaraghavan, 2018). Two most common culprits are iron and copper (Pujar, Narayan &Sushma, 2015 andJastaneiah, 2010). Foreign body in angle can easily be missed as not commonly detected through our routine eye examination.…”

Section: Discussionmentioning

confidence: 99%

“…The intraocular foreign body located in the anterior segment may result in cornea oedema, decompensated cornea, uveitis, endophthalmitis, hyphema, glaucoma and toxicity. (Pujar, Narayan & Sushma, 2015;Denniston &Murray, 2018 andJastaneiah, 2010) The material like copper and iron cause toxicity which in long term may lead to secondary optic atrophy and glaucoma(Huang, Yan, Cai & Li 2017). According to references, incidence of endophthalmitis in cases of IOFB after penetrating injury is 4.7 to 13.5% (Jastaneiah, 2010& Huang, Yan, Cai & Li 2017.…”

Section: Discussionmentioning

confidence: 99%

“…These complications depend on the site, size and location of the foreign body. In a retrospective study by Zhang et al,72.28% of intraocular foreign body were found to be located in the posterior segment followed by 21.39% in the anterior segment and 6.33% in both; anterior and posterior segment (Pujar, Narayan & Sushma, 2015). The presence of foreign body in the anterior segment may lead to complications such as cornea oedema, decompensated cornea, glaucoma, uveitis, hyphema and toxicity (Denniston & Murray, 2018).…”

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confidence: 99%

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Eyes Cannot See What the Brain Does Not Know

Zahari¹,

Ujang²

2021

MJMR

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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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Atypical Case of Retained Intraocular Foreign Body Presenting as Secondary Glaucoma After 12 Years

Cited by 2 publications

References 5 publications

Bullous Keratopathy Secondary to Anterior Chamber Angle Foreign Body

Bullous Keratopathy Secondary to Anterior Chamber Angle Foreign Body

Eyes Cannot See What the Brain Does Not Know

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