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Case Report: Intraocular foreign body coexisting for 30 years
Rong Zhu1,2, Chong Wang1, Zhensheng Gu1
1Department of Ophthalmology, Xinhua Hospital, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Frontiers in Medicine
|May 12, 2025
Summary
A rare case of a transparent intraocular foreign body (IOFB) in the anterior chamber persisted for 30 years without symptoms. Surgical extraction was performed due to potential corneal endothelium damage.
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
Background:
- Intraocular foreign bodies (IOFBs) are typically found in the posterior segment of the eye.
- Anterior chamber IOFBs are uncommon, and this case highlights a rare presentation of a long-standing, asymptomatic IOFB.
Observation:
- A 30-year-old male presented with an asymptomatic 11 mm transparent foreign body in the anterior chamber of his left eye, present for 30 years.
- Examination revealed corneal endothelial scratches and an endothelial cell count of 1,110 cells/mm².
- The anterior chamber showed no signs of inflammation.
Findings:
- Surgical extraction of the intraocular foreign body was performed due to concerns about persistent corneal endothelium injury.
- No sight-threatening postoperative complications were observed.
Implications:
- Thorough examination and imaging are crucial for identifying IOFBs.
- Even asymptomatic anterior chamber foreign bodies can cause corneal endothelium damage and require careful surgical consideration and extraction to prevent iatrogenic injury.
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