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Updated: May 22, 2026

Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
[Siderosis bulbi. Clinical presentation of a case of three years from onset]
M Asencio-Duran1, P C Vázquez-Colomo, F Armadá-Maresca
1Servicio de Oftalmología, Hospital La Paz, Madrid, España. masedur@terra.es
Case Report:
The clinical and functional characteristics of a 30 years-old patient with three years-evolution siderosis bulbi are described in this paper, as well as the treatment using phacoemulsification and vitrectomy for the elimination of the metallic remains.
Discussion:
In spite of the fact that the majority of the intraocular foreign bodies (IOFB) have a dangerous immediate effect, in cases of small, local bodies and with little visual deterioration, observation is possible. Nevertheless, with time, the iron settles on the pigmented epithelium of the retina, producing changes at macula and peripheral level, which are responsible for the gradual loss of vision. The surgical removal of the IOFB can stop the progression of this pathology.
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