open access

Vol 5 (2020): Continuous Publishing
Case report
Published online: 2020-02-06
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A case of an intraocular glass piece that has remained quiescent for four years

Farheen Fatima1, Zubaida Sirang2, Azam Ali1, Nauman Chaudhry3, Khabir Ahmad1
·
Ophthalmol J 2020;5:5-7.
Affiliations
  1. Section of Ophthalmology, Aga Khan University Hospital, Stadium Road, Karachi, Pakistan
  2. Section of Ophthalmology, Mater Misericordiae University Hospital, Dublin, Ireland
  3. Yale School of Medicine, New Haven, United States

open access

Vol 5 (2020): Continuous Publishing
CASE REPORTS
Published online: 2020-02-06

Abstract

An intraocular foreign body (IOFB) is mainly acquired via a penetrating globe injury. Some foreign bodies like glass have an inert nature, and the timing of intervention can be delayed, but foreign bodies like metals have a toxic effect on the eye and require urgent removal.

We present a case of a young male with a penetrating globe injury following a road traffic accident. He acquired a foreign body glass piece in his left eye, which was initially missed. Upon thorough examination, it was found at the inferotemporal quadrant of the retina. Considering the inert nature of IOFB and the risks of bleeding and damage to the surrounding intraocular structures, we decided not to remove it. The patient has been stable for four years with good vision in the same eye.

Abstract

An intraocular foreign body (IOFB) is mainly acquired via a penetrating globe injury. Some foreign bodies like glass have an inert nature, and the timing of intervention can be delayed, but foreign bodies like metals have a toxic effect on the eye and require urgent removal.

We present a case of a young male with a penetrating globe injury following a road traffic accident. He acquired a foreign body glass piece in his left eye, which was initially missed. Upon thorough examination, it was found at the inferotemporal quadrant of the retina. Considering the inert nature of IOFB and the risks of bleeding and damage to the surrounding intraocular structures, we decided not to remove it. The patient has been stable for four years with good vision in the same eye.

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Keywords

intraocular foreign body; IOFB; complications of IOFB

About this article
Title

A case of an intraocular glass piece that has remained quiescent for four years

Journal

Ophthalmology Journal

Issue

Vol 5 (2020): Continuous Publishing

Article type

Case report

Pages

5-7

Published online

2020-02-06

Page views

609

Article views/downloads

653

DOI

10.5603/OJ.2020.0002

Bibliographic record

Ophthalmol J 2020;5:5-7.

Keywords

intraocular foreign body
IOFB
complications of IOFB

Authors

Farheen Fatima
Zubaida Sirang
Azam Ali
Nauman Chaudhry
Khabir Ahmad

References (9)
  1. Kuhn F, Morris R, Witherspoon CD. Intraocular foreign body (posterior segment) . In: Hampton Roy RD. ed. Masters Techniques in Ophthalmic Surgery. Williams and Wilkins, Baltimore 1995: 1201–1212.
  2. Katz G, Moisseiev J. Posterior-segment intraocular foreign bodies: An update on management. Risks of infection, scarring and vision loss are among the many concerns to address. Retinal Physician. 2009.
  3. Cazabon S, Dabbs TR. Intralenticular metallic foreign body. J Cataract Refract Surg. 2002; 28(12): 2233–2234.
  4. Coleman DJ, Lucas BC, Rondeau MJ, et al. Management of intraocular foreign bodies. Ophthalmology. 1987; 94(12): 1647–1653.
  5. Behrens-Baumann W, Praetorius G. Intraocular Foreign Bodies. 297 consecutive cases. Ophthalmologica. 1989; 198(2): 84–88.
  6. Ahmadieh H, Soheilian M, Sajjadi H, et al. Vitrectomy in ocular trauma. Factors influencing final visual outcome. Retina. 1993; 13(2): 107–113.
  7. Hwi TP, Min TW, Ying CS, et al. Glass piece in the retina after road traffic accident: to remove or not to remove. Sch J Med Case Rep. 2015; 3(9B): 906–910.
  8. Greven C, Engelbrecht N, Slusher M, et al. Intraocular foreign bodies: management, prognostic factors, and visual outcomes. Ophthalmology. 2000; 107(3): 608–612.
  9. Al-Thowaibi A, Kumar M, Al-Matani I. An overview of penetrating ocular trauma with retained intraocular foreign body. Saudi J Ophthalmol. 2011; 25(2): 203–205.

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