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    Area of Science:

    • Ophthalmology
    • Ocular Trauma
    • Retinal Imaging

    Background:

    • Presents a rare case of an occult retained intraocular foreign body.
    • Foreign body was undetected for four years following initial trauma.

    Purpose of the Study:

    • To highlight the delayed presentation of intraocular foreign bodies.
    • To emphasize the importance of thorough examination in atypical ocular cases.

    Main Methods:

    • Case report of a 23-year-old male with exodeviation.
    • Fundus examination revealed macular epiretinal membrane and peripheral occult foreign body.
    • Diagnosis confirmed with imaging studies.

    Main Results:

    • Squint and epiretinal membrane can be presenting signs of occult foreign bodies.
    • Foreign body was successfully localized in the retinal periphery.

    Conclusions:

    • A high index of suspicion for ocular trauma is necessary.
    • Thorough patient history and comprehensive eye examination are vital.
    • Radio imaging aids in diagnosing occult intraocular foreign bodies.