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Disappeared intralenticular foreign body: A case report.

Chao Xue1, Ying Chen1, Yan-Lin Gao1

  • 1Department of Ophthalmology, Tianjin Eye Hospital, Tianjin 300020, China.

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|July 5, 2021
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Summary

Intralenticular foreign bodies (FBs) are rare. Magnet extraction through the anterior chamber offers a viable, less invasive option for removing anterior cortical FBs, preserving vision.

Keywords:
Case reportIntralenticular foreign bodyOcular traumaPenetrating eye injury

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Area of Science:

  • Ophthalmology
  • Medical Device Technology

Background:

  • Intralenticular foreign bodies (FBs) are uncommon in ophthalmic practice.
  • Traumatic cataracts often necessitate surgical intervention for visual rehabilitation.

Observation:

  • A 35-year-old male sustained an ocular injury from iron filings.
  • The foreign body was inadvertently displaced into the lens equator.
  • Successful retrieval of the intralenticular FB was achieved using a magnet via the anterior chamber.

Findings:

  • The patient's visual acuity improved significantly from 2/20 to 20/20 post-procedure.
  • The transparent portion of the lens remained stable, with only localized opacity.
  • The eye's visual function recovered well after the magnet extraction.

Implications:

  • Magnet extraction may be a preferred method for intralenticular FBs located in the anterior cortex.
  • This technique potentially minimizes surgical trauma and preserves lens function.
  • Offers a less invasive approach compared to traditional cataract surgery for specific FB presentations.