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Iris Fixation via External Pentagram Suturing

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Foreign body embedded in anterior chamber angle.

Shmuel Graffi¹, Beatrice Tiosano, Ran Ben Cnaan

¹Department of Ophthalmology, Baruch Padeh Medical Center and Faculty of Medicine, Bar Ilan University, 15208 Galilee, Israel.

Case Reports in Ophthalmological Medicine

|October 24, 2012

Summary

A rare case of metallic foreign body in the anterior chamber angle occurred in a soft contact lens wearer. Prompt diagnosis via gonioscopy and CT scan, followed by surgical removal, led to a favorable outcome.

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Area of Science:

Ophthalmology
Ophthalmic Surgery
Medical Imaging

Background:

Metallic foreign bodies in the anterior chamber angle are rare.
Diagnosis can be challenging without gonioscopy.
Soft contact lens wearers may be at risk.

Purpose of the Study:

To report a unique case of a metallic foreign body in the anterior chamber angle.
To highlight diagnostic and management strategies for this rare condition.

Main Methods:

Gonioscopic examination for diagnosis.
Noncontrast computed tomography (CT) scan of the head and orbits for confirmation.
Surgical removal of the foreign body via an external approach.

Main Results:

A metallic foreign body was successfully diagnosed and removed.
The patient experienced a favorable final outcome.
Slit-lamp examination alone was insufficient for diagnosis.

Conclusions:

Early and accurate diagnosis is crucial for favorable outcomes.
Gonioscopy and CT imaging are essential tools.
Prompt surgical intervention is necessary for metallic foreign bodies in the anterior chamber angle.