Ocular siderosis after penetrating injury with IOFB

Poster Details

First Author: HelenaSkačej Friedrich SLOVENIA

Co Author(s):    Xhevat Lumi              

Abstract Details

Purpose:

To stress the importance of an early treatment of a penetrating eye injury.

Setting:

: Eye Clinic, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Methods:

A case report.

Results:

We present a 32-year-old man who suffered from a penetrating eye injury after a foreign body had struck his left eye while he was hammering a ferrous metal. The non-corrected visual acuity of this eye was 0.6. The visual acuity of the other, right eye, appeared to be only light perception. This eye was hit by a tree-branch more than one year ago. He did not decide to see an ophthalmologist at that time. An old penetrating right eye injury was observed, accompanied by a large, nonreactive pupil and a mature cataract. Computed tomography revealed metal intraocular foreign bodies bilaterally. The surgery was performed on the left eye (wound revision, iris reposition, corneal suturing, phacoemulsification, intraocular lens implantation, vitrectomy, intraocular foreign body removal). Higher right intraocular pressure accompanied by an open angle was detected. Antiglaucoma treatment was introduced. Four weeks after left eye surgery, a surgical procedure was performed on the right eye (phacoemulsification, intraocular foreign body extraction, intraocular lens implantation, vitrectomy). Afterwards, a pale and excavated optic disc was seen. Electrophysiological testing showed retinal function damage. Few weeks after the surgeries, the right eye visual acuity did not improve. However, the best corrected left eye visual acuity was 1.0.

Conclusions:

Reduced right eye vision appeared as a consequence of retinal and optic disc damage due to ocular siderosis because of the retained intraocular metal foreign body. Immediate left eye surgery and intraocular foreign body removal enabled the preservation of a good visual acuity. FINANCIAL INTEREST: NONE