DR. BIDISHA MAJI

DR. SNEHA JAIN, DR. NISHA BURA, DR. KOYEL SINHA

Abstract

Intraocular foreign body may traumatize the eye mechanically, introduce infection or exert other toxic effects on intraocular structures and urgent removal is warranted. A 35 year old male presented 7 days after an injury to left eye with an hot iron projectile from a grinding machine. On presentation, the visual acuity was 20/40. Entry wound was in the temporal cornea which was secured with one suture. Anterior segment was normal and lens was clear. A foreign body was seen in the mid vitreous cavity with a otherwise normal fundus which was confirmed on Ultrasonography and CT scan images. Patient was taken up for lens sparing pars plana vitrectomy with extraction of foreign body through a sclerotomy with the help of magnet. Vitreous biopsy did not reveal any organism. On discharge, the visual acuity was 20/63. We report a case where an iron projectile caused minimal ocular damage and delayed removal caused no significant damage.