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Intralenticular metallic foreign body

L R Lee¹, A M Briner

¹Department of Ophthalmology, Princess Alexandra Hospital, Woolloongabba, Queensland.

Australian and New Zealand Journal of Ophthalmology

|November 1, 1996

Summary

Intralenticular metallic foreign bodies in the eye can be monitored conservatively. Surgical intervention may be necessary if intraocular inflammation or cataract develops.

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Area of Science:

Ophthalmology
Ocular Trauma
Intraocular Foreign Bodies

Background:

Intralenticular metallic foreign bodies (IMFBs) are rare ocular injuries.
While often asymptomatic initially, they pose a risk for delayed complications.

Observation:

A case of a 24-year-old male with an intralenticular metallic foreign body is presented.
Initial presentation involved no visual impairment or lens opacification.
Two years post-injury, the patient developed anterior uveitis and reduced vision.

Findings:

The intralenticular foreign body was successfully removed via phacoemulsification with intraocular lens implantation.
Histopathological analysis confirmed the metallic nature of the foreign body.

Implications:

Conservative management of IMFBs is feasible, with regular monitoring.
Ocular inflammation and cataract formation are potential indicators for surgical intervention.
Prompt diagnosis and management are crucial for preserving visual function in cases of IMFBs.

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