An Itch to Dilate: A Case Report of an Intralenticular Foreign Body in a 57-Year-Old Man.

A 57-year-old man presented with a foreign body sensation in the left eye after using a metal pellet air gun seven days prior. Following an unremarkable exam at urgent care, the patient was prescribed topical ointment and instructed to follow up with an ophthalmologist for continued problems. At ophthalmology, the patient reported decreased vision of 20/30 and pain with accommodation in the left eye. Intraocular pressure was 16 mmHg. A slit lamp examination of the left eye showed full thickness horizontal scarring superior to the visual axis with a negative Seidel sign. The iris was normal, and the anterior chamber was deep and quiet. There was a slight abnormal aberration of light in the lens on retro-illumination. After dilation, a large metallic foreign body inferiorly embedded in the anterior lens was noted, violating the anterior capsule. The foreign body was successfully removed using a magnetic probe. Following lens phacoemulsification and the removal of cortical material, the capsular bag was noted to be intact. An intraocular lens implant was placed and well-centered. The patient experienced no complications, and his vision improved to 20/20 the subsequent day. This case report demonstrates the need for high clinical suspicion of embedded foreign bodies in patients near high-speed projectiles and the importance of dilation to rule out the presence of intralenticular foreign bodies.

A rare intraocular foreign body resulting from a workplace accident.

A 54-year-old man presented to the ophthalmic emergency department of our center with eye pain and blurred vision in his right eye following a workplace accident. Examination revealed a penetrating corneal injury with the presence of an intraocular foreign body (IOFB) involving the corneoscleral limbus, perforating the cornea, iris, anterior lens capsule, and lens. Immediate surgical intervention was carried out with the extraction of the IOFB, identified as an 8mm mussel shell fragment, and the removal of the resulting traumatic cataract. Both preoperative and postoperative examinations showed an attached retina with no signs of retinal tears or vitreous hemorrhage. Appropriate management in this case, along with the timely identification of the agent, led to favorable outcomes despite the size of the intraocular foreign body.

Diagnosis, management, and outcome of an intralenticular foreign body in a dog: A case report.

Background: Intra-lenticular foreign bodies are rare in veterinary medicine and uncommon in human medicine. Approximately 50% of perforating ocular injuries in canines have lenticular involvement. Treatment choices include conservative management and surgical options. Retained intra-lenticular foreign body with delayed removal has not been reported in animals. Case Description: A 3-year-old male neutered Lurcher presented with right-sided ocular discomfort and a sealed full-thickness corneal perforation. The full ophthalmic examination could not be performed at the initial presentation due to miosis. Recrudescence of anterior uveitis was seen post-drug cessation. Re-evaluation of the eye with a mydriatic pupil revealed an intra-lenticular foreign body. Surgical removal via phacoemulsification was performed 8 weeks after the initial perforating injury. The eye remains visual, comfortable, and normotensive 50 months post-operatively. Conclusion: This is the first report of an encapsulated, retained intra-lenticular foreign body with delayed removal in a dog. Mydriasis and repeat examinations are of crucial importance when evaluating eyes post-perforation.

Metallic intralenticular foreign body removal without crystalline lens extraction: a case report.

We describe a technique for metallic intralenticular foreign body (ILFB) removal in a patient in whom there was no or minimal cataract formation or other complications. This technique required creating two corneal small incisions around the ILFB for inserting iris retractors to expose the ILFB. At the foreign body position, a clear corneal incision was made, and then the ILFB was removed with minimal manipulation by an intraocular magnet without complications. Because most occupational traumas occur in young people, this technique avoids the adverse outcomes of lens extraction in this age group.

Disappeared intralenticular foreign body: A case report.

BACKGROUND: Intralenticular foreign body is rarely encountered in ophthalmic practice. In most cases, subsequent traumatic cataract requires cataract surgery for visual rehabilitation. CASE SUMMARY: A 35-year-old man was injured by iron filings in his left eye. After the injury, the patient tried to draw the object out by himself using a magnet; however, the foreign body (FB) was pushed to the equator of the lens. The FB was removed by a magnet through the anterior chamber accessed through the original capsular wound. Since most of the lens was transparent and only partially opaque after the operation, the lens was kept under close observation. After the surgery, the patient's visual acuity reached 20/20 from 2/20, visual function recovered very well, and local opacity of the lens remained stable. CONCLUSION: For intralenticular FB in the anterior cortex under the capsule, magnet may be a more advantageous way to remove the object.

Intralenticular foreign body: A case report and literature review.

The purpose of this manuscript was to provide a better understanding of patients with intralenticular foreign bodies (FBs) and also to review the reported cases, including clinical presentation, diagnosis, management, and visual outcome. A 50-year-old male was referred to our clinic with suspected intraocular FB. Under slit-lamp examination, a full-thickness corneal wound with localized corneal edema at the temporal lower peri-limbal area was revealed. Seidel test did not indicate any wound leakage. The corresponding iris was depigmented, but there was no penetrating hole. The anterior chamber was deep with cells, but the lens, vitreous, and fundus were normal. B-scan ultrasonography and orbital computed tomography were performed, but no intraocular FB was detected. On the 2nd day, a zonal cortical cataract and posterior subcapsular cataract formed rapidly. Left-eye bare vision dramatically decreased from 20/100 to counting fingers. One month later, the patient received elective extracapsular cataract extraction. A fine metal thread was completely embedded in the lens; the lens and FB were removed together during the operation. The posterior capsule was not injured; an intraocular lens was implanted in the capsular bag. Two months postoperatively, left-eye vision had returned to 20/25. No adverse events were noted during the follow-up period. In addition to the case report, some 28 previously reported cases of intralenticular FB are reviewed here. Patient demographics, time and course of management, and visual outcome are all summarized and compared.

Cuerpo extraño intracristaliniano / Intralenticular foreign body

Los cuerpos extraños intracristalinianos representan hasta un 10 por ciento de todos los cuerpos extraños intraoculares, por lo que su observación en la práctica oftalmológica no es frecuente. Se reportan con mayor frecuencia en varones jóvenes que han sufrido traumas en el área laboral sin la adecuada protección. De manera general, un cuerpo extraño intracristaliniano provoca disminución progresiva de la visión en la mayoría de los casos debido a la formación de catarata. Es frecuente también el aumento de la presión intraocular. Una intervención quirúrgica temprana, combinando varios procederes en un solo tiempo quirúrgico, que incluye la extracción del cuerpo extraño intracristaliniano con un fórceps, permite obtener buenos resultados visuales y el control de la hipertensión ocular. Este artículo reporta dos casos con cuerpos extraños intracristalinianos retenidos en la corteza anterior del cristalino, con información detallada sobre las circunstancias del trauma, naturaleza del cuerpo extraño y procederes médicos y quirúrgicos realizados en ambos casos con características comunes(AU)

Intralenticular foreign bodies account for up to 10 percent of all intraocular foreign bodies. That is why their observation is not frequent in ophthalmologic practice. They are more often reported in male young people who have experienced trauma while working without appropriate protection. An intralenticular foreign body generally causes progressive vision reduction due to cataract formation. Increased intraocular pressure is also common. Early surgical intervention combining several procedures in a single surgery time, including removal of the intralenticular foreign body with forceps, leads to good visual results and ocular hypertension control. The article describes two cases of intralenticular foreign bodies retained in the outer cortex of the crystalline lens, and includes detailed information about the circumstances of the trauma, the nature of the foreign body, and the medical and surgical procedures conducted in both cases with common characteristics(AU)

Intralenticular metallic foreign body: a case report.

A case of retained intralenticular iron piece with signs of mild anterior uveitis at the time of presentation is reported in a 45 year-old man. His vision improved with topical cycloplegics and corticosteroids. After six months, his vision deteriorated grossly due to cataract formation. He regained good vision following removal of foreign body, extracapsular extraction with posterior chamber intraocular lens implantation. This case highlights the conservative management of the condition till the patient develops cataract resulting in visual disability; and good visual recovery following cataract surgery with intraocular lens implantation.

A case of a retained intralenticular foreign body for two years.

We report a case of a missed metallic intraocular foreign body retained in the lens over a two-year period without causing inflammatory reaction, which presented with cataract later. A 24-year-old man presented with a progressive blurring of vision in the left eye for two years. He had had a history of metal-on-metal activity two years before. He had pain for one day in left eye and it was healed by the following day. Biomicroscopic examination revealed cataract, an intralenticular foreign body, and a corneal scar at seven o'clock meridian of the cornea in the left eye. Best-corrected visual acuity was 20/200 in the left eye. Intralenticular foreign body removal, phacoemulsification, and an intraocular lens implantation was performed under local anesthesia. The intralenticular foreign body was metallic and its size was about 2 × 2 mm. Two weeks after the operation best corrected visual acuity was 20/20 in left eye. A retained foreign body should be considered in each patient with a history of penetrating ocular trauma and all efforts must be made to exclude presumptive diagnosis of intraocular foreign body.

Late occurrence of lens particle glaucoma due to an occult glass intralenticular foreign body.

We report a case of traumatic mature cataract with a late occurrence of lens particle glaucoma after 11 years of trauma due to a presence of an occult intralenticular glass foreign body which was detected accidentally during the cataract surgery.