Posters

Anterior chamber metallic foreign body causing late-onset intermediate uveitis

Poster Details

First Author: E.Mirza TURKEY

Co Author(s):    R. Oltulu   G. Mirza   M. Gunduz              

Abstract Details

Purpose:

To report long-term complications and treatment approach in a patient with anterior chamber metallic foreign body (FB) who has been followed-up for 8 years.

Setting:

Department of Ophthalmology, Meram School of Medicine, Necmettin Erbakan University, Konya - Turkey

Methods:

A 46-year-old male patient was referred to our ophthalmology department because of decreased visual acuity, redness and discomfort in his left eye (LE) for one month. There was a history of ocular trauma approximately 8 years ago. The pre-diagnosis was a sterile inflammatory reaction due to retained anterior chamber metallic FB that caused intermediate uveitis. Systemic and topical corticosteroid treatment was started primarily. Anterior chamber FB removal surgery was performed shortly after under general anesthesia.

Results:

At the initial examination, best-corrected visual acuity (BCVA) was 20/20 in the right eye (RE) and 20/200 in the LE. It was observed that there was an intracorneal metallic FB extending towards the iris in the LE. Iris adhesion was also detected around the FB and pupil shape was abnormal. The anterior chamber showed grade 2+ cell reaction. Also, grade +2 vitritis was noted in the posterior examination of the LE. Moreover, optical coherence tomography images showed intra-subretinal fluid and parafoveal hyperfluorescence due to leakage was recorded in the fluorescein angiography. At the postoperative visits, BCVA was increased 20/40 in the LE. The anterior chamber cell reaction and vitritis decreased. The intra-subretinal fluid was regressed markedly.

Conclusions:

In this case, it should be taken into consideration that sight-threatening complications have developed after 8 years of follow-up. Another important point was that inflammation regressed after the surgical excision of the FB. This outcome showed that the removal of FB can be effective in restoring metallic FB damage, even in the late period. Although each patient should be considered on an individual basis. An anterior chamber FB needs assessment and management for early surgical excision, as they may eventually lead to vision-threatening complications.

Financial Disclosure:

None