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A metallic foreign body presenting in the anterior chamber angle
Richard S Davidson1, Arunan Sivalingam
1Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
Purpose:
This article describes a case in which a patient presented with a previously undetected metallic foreign body in the anterior chamber angle.
Methods And Results:
A 42-year-old Hispanic man presented with a 5-day history of foreign-body sensation and redness in his left eye. He had been using a hand saw without safety glasses 2 days before the onset of his initial symptoms. Physical examination revealed a metallic foreign body embedded in the inferior angle of his left eye. Surgical removal of the foreign body was performed, and the patient remains well 1 year after surgery.
Conclusions:
All physicians should maintain a high degree of clinical suspicion for intraocular foreign bodies when presented with a patient who may have sustained ocular trauma. All eye-care providers need to emphasize the need for proper eye protection to patients who engage in high risk activities that may lead to penetrating ocular trauma.