Related Experiment Video
Updated: May 7, 2026
05:22
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
[Big intraocular foreign body: case report]
Aleksandar Gaković1, Igor Kovačević, Jovana Biševac
1Clinic of Ophthalmology, Clinical Center of Serbia, Belgrade, Serbia. aleksandargak@yahoo.com
Srpski Arhiv Za Celokupno Lekarstvo
|October 1, 2013
Summary
Prompt diagnosis and treatment of intraocular foreign bodies (IOFB) are crucial for preserving vision. Early detection of posterior segment damage prevents severe complications like retinal detachment.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Penetrating eye injuries, particularly intraocular foreign bodies (IOFB), pose significant diagnostic and management challenges.
- IOFBs can damage various ocular structures, leading to complications such as traumatic cataract, retinal detachment, and endophthalmitis.
Observation:
- A case involving a 49-year-old male with an 18 mm metal wire IOFB penetrating the right eye was presented.
- The foreign body traversed the anterior chamber, iris, lens, and vitreous, with X-ray confirming its extensive path.
- Postoperative examination revealed a retinal rupture in the upper temporal quadrant.
Findings:
- Successful IOFB removal was achieved using anatomic forceps.
- Laser photocoagulation (laser retinal barrage) was performed to treat the identified retinal tear.
- The patient maintained a visual acuity of 1.0 and normal intraocular pressure post-procedure.
Implications:
- Comprehensive examination of all ocular structures is essential for penetrating eye injuries.
- Timely diagnosis and management of posterior segment injuries, such as retinal tears, are vital to prevent vision loss.
- Prompt therapeutic interventions can avert serious complications, including permanent visual acuity reduction.
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