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Fiberglass intraocular foreign body with no initial ocular symptoms
David Mostafavi1, Kenneth Olumba, Eric M Shrier
1Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York.
Retinal Cases & Brief Reports
|November 6, 2014
Summary
This case report details a fiberglass intraocular foreign body, initially missed, presenting with retinal hemorrhage. Inert foreign bodies can cause delayed, subtle symptoms, complicating diagnosis.
Area of Science:
- Ophthalmology
- Medical Imaging
- Trauma Care
Background:
- Intraocular foreign bodies (IOFBs) present with varied clinical signs.
- Subtle presentations can delay diagnosis, especially with inert materials like fiberglass.
- Early detection and management are crucial for preserving vision.
Observation:
- A 34-year-old male presented with unexplained preretinal hemorrhage three months after a fiberglass exposure.
- Initial examination revealed a corneal scar and iris defect; funduscopy showed a subretinal foreign body with hemorrhage.
- Diagnostic imaging included anterior segment photography, optical coherence tomography (OCT), and computed tomography (CT) of the orbit.
Findings:
- The case highlights fiberglass as a previously unreported intraocular foreign body material.
- The IOFB was occult, with symptoms developing months after the initial injury.
- Despite the foreign body, the absence of inflammation allowed for conservative management with laser barrier photocoagulation.
Implications:
- This case underscores the importance of a thorough history, including potential environmental exposures, in diagnosing IOFBs.
- Inert IOFBs may present with delayed and non-specific symptoms, challenging initial clinical assessment.
- Advanced imaging modalities like OCT and CT are vital for detecting occult intraocular foreign bodies.
