Anterior segment intraocular metallic foreign body causing chronic hypopyon uveitis

Area of Science:

• Ophthalmology
• Trauma Surgery

Background:

• Intraocular foreign bodies (IOFBs) are common complications of penetrating ocular trauma.
• Delayed diagnosis of IOFBs, particularly metallic ones, can lead to significant visual impairment and complications.

Purpose of the Study:

• To report a case of a missed metallic intraocular foreign body presenting with uveitis after a two-year delay.
• To highlight the importance of early detection and management of intraocular foreign bodies.

Main Methods:

• A case study of a 42-year-old male with a delayed presentation of an intraocular foreign body.
• Diagnostic imaging including plain X-ray and computed tomography.
• Surgical removal of the metallic intraocular foreign body under local anesthesia.

Main Results:

• A metallic intraocular foreign body was identified in the anterior chamber, coated with hypopyon.
• The foreign body had been retained for two years following a traffic accident.
• The patient presented with symptoms of uveitis, including blurred vision, pain, photophobia, and redness.

Conclusions:

• Missed metallic intraocular foreign bodies can remain asymptomatic for extended periods before causing inflammatory conditions like uveitis.
• Prompt diagnosis and surgical intervention are essential for managing intraocular foreign bodies and preventing long-term visual sequelae.