DR. PARIDHI TODI

DR. SNEHA JAIN, DR. PARIDHI TODI

Abstract

A 35 year old man with history of penetrating ocular trauma presented with pain and redness of 2 days’ duration. He had dense vitreous hemorrhage and a metallic intraocular foreign body (IOFB) in the inferior quadrant was visualised by imaging. Lens extraction with 23G pars plana vitrectomy for IOFB removal was done after which localised frosted branch angiitis (FBA) like vasculitis was noted adjacent to the IOFB. The removal of intraocular metallic foreign body with continued use of systemic and topical steroids post-surgery resulted in complete resolution of vasculitis within a week with improvement in vision. Frosted branch angiitis is an immunological response to numerous antigens. We suspect an association of retained metallic IOFB with the development of frosted branch angiitis.