Removal of intraocular foreign body in anterior chamber angle with prism contact lens and 23-gauge foreign body forceps

Huang, Yanming; Yan, Hua; Cai, Jinhong; Li, Haibo

doi:10.18240/ijo.2017.05.15

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…X-ray orbit examination will also guide the treatment plan. [ 2 ] Here, we report a case of penetrating IOFB presenting as recalcitrant hypopyon anterior uveitis.…”

Section: Introductionmentioning

confidence: 99%

Intraocular foreign body presenting as recalcitrant hypopyon anterior uveitis

Ganesh

Balasubramaniam

Minija

et al. 2023

Taiwan J Ophthalmol

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A 38-year-old male with a history of trauma presented to us with pain and decreased vision in the left eye (LE). Previously, the patient had been diagnosed with hypopyon uveitis and was prescribed topical steroids. We performed slit-lamp examination of the LE and found exudates in the anterior chamber (AC) extending from 6 to 9 o'clock, along with circumciliary congestion and pigmented keratic precipitates. We made a diagnosis of infectious anterior hypopyon uveitis; however, all of its causes were ruled out upon the necessary investigations, which returned normal results. The patient was started on topical and oral antibiotics, and subsequently, there was complete hypopyon resolution. Five months later, he presented with similar complaints. An examination revealed a black elevated lesion in the AC at 8 o'clock suspicious of an intraocular foreign body (IOFB), along with 1 mm hypopyon. An X-ray orbit examination confirmed the IOFB presence, and the IOFB was surgically removed from the AC. Three weeks after this surgery, the patient presented with a recurrence of similar symptoms. The nasal pterygium adjacent to the location of the previously removed IOFB was inflamed with an underlying black elevated limbal nodule, which was determined to likely be a remnant of the IOFB in the subconjunctival space. Here, we report a case of penetrating IOFB that was initially detected in the AC. Its remnant extraocular component persisted in the subconjunctival space, and its incomplete removal led to recurrent inflammation.

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“…X-ray orbit examination will also guide the treatment plan. [ 2 ] Here, we report a case of penetrating IOFB presenting as recalcitrant hypopyon anterior uveitis.…”

Section: Introductionmentioning

confidence: 99%

Intraocular foreign body presenting as recalcitrant hypopyon anterior uveitis

Ganesh

Balasubramaniam

Minija

et al. 2023

Taiwan J Ophthalmol

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Complications after CyPass® Micro-Stent explantation: a case series

Habbe,

Kohlhaas,

Fili

2024

Int Ophthalmol

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Removal of an anterior chamber foreign body using hydropulsion and ophthalmic viscoelastic device capture in a dog

Wiggans

2024

Veterinary Ophthalmology

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ObjectiveTo describe the removal of an adherent, presumed plant‐based, anterior chamber foreign body (ACFB) from the inferior iridocorneal angle in a dog using hydropulsion and ophthalmic viscoelastic device (OVD) capture.Animal StudiedA 6‐year‐old female spayed pit bull terrier who was referred for further evaluation of a corneal opacity after being observed running into a thorned succulent plant 1 month earlier. On ophthalmic examination, no corneal foreign body was noted, though mild uveitis was present. Gonioscopy revealed a suspected plant foreign body (thorn tip) in the inferior iridocorneal angle.ProcedureUnder general anesthesia, the ACFB was dislodged from the inferior iridocorneal angle using hydropulsion with balanced salt solution. The superior half of the anterior chamber had been filled with 2% hydroxypropyl methylcellulose OVD to trap the foreign object. One month later, the uveitis had resolved and repeat gonioscopy confirmed the absence of any ACFB in the iridocorneal angle.ConclusionIn the absence of an intraoperative goniolens or endoscopy, hydropulsion and OVD capture of adherent ACFBs may be a feasible option for removal.

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Removal of intraocular foreign body in anterior chamber angle with prism contact lens and 23-gauge foreign body forceps

Abstract: Removal of ACFB using a prism contact lens and 23-gauge foreign body forceps is a safer, more effective, and convenient technique compared with the conventional approach.

Cited by 3 publications

References 21 publications

Intraocular foreign body presenting as recalcitrant hypopyon anterior uveitis

Intraocular foreign body presenting as recalcitrant hypopyon anterior uveitis

Complications after CyPass® Micro-Stent explantation: a case series

Removal of an anterior chamber foreign body using hydropulsion and ophthalmic viscoelastic device capture in a dog

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