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Updated: Jul 11, 2026

Induction of Ocular Surface Inflammation and Collection of Involved Tissues

Induction of Ocular Surface Inflammation and Collection of Involved Tissues

Published on: August 4, 2022

[Post-traumatic inflammation with an intraocular foreign body].

A A Bialasiewicz¹, S M Al-Zuhaibi, A Ganesh

¹Department of Ophthalmology and School of Ophthalmic Technicians, Sultan Qaboos University College of Medicine and Health Sciences, 123, Al Khod/Muscat, Oman. bialasiew@aol.com

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft

|September 28, 2007

Summary

Prompt removal of intraocular foreign bodies (IOFBs) is crucial to prevent toxic metallosis and inflammation. Early intervention in firecracker eye injuries can mitigate severe vision loss and complications.

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Area of Science:

Ophthalmology
Trauma Surgery
Toxicology

Background:

Reports on the diagnosis and management of a pediatric eye injury caused by a firecracker.
Highlights the presentation of post-traumatic intraocular inflammation following a blast injury.

Observation:

A 10-year-old boy experienced a penetrating cornea-sclera blast injury with uveal prolapse and hyphema.
Computed tomography revealed an intraocular foreign body (IOFB), retinal detachment, and hemorrhage.
Despite initial treatment, increasing inflammation and vision loss necessitated surgical intervention.

Findings:

Vitreous analysis showed no microbial growth but indicated significant inflammatory cells.
Spectroscopy of the IOFB identified heavy metals, including copper, leading to a diagnosis of chalcosis (noninfectious inflammation).
Surgical removal of the IOFB resulted in a stable postoperative course with attached retina and macula.

Implications:

Emphasizes the immediate need for removal of large intraocular projectiles to prevent toxic metallosis.
Highlights the risk of severe complications, including vision loss, from retained metallic foreign bodies.
Underscores the importance of prompt surgical management in pediatric ocular trauma involving IOFBs.