Posters

Corneal endothelial decompensation revealing a missed occult iris foreign body: a case report

Poster Details

First Author: M.Firdaoussi MOROCCO

Co Author(s): N. Lachkham   O. Merimi   A. Bennis   F. CHRAIBI   M. Abdellaoui   I. Benatiya Andaloussi     

Abstract Details

Purpose:

Intraocular foreign bodies can present in an insidious manner. Our purpose is to present an interesting case of corneal endothelial decompensation secondary to retained occult metallic iris foreign body detected incidentally during examination.

Setting:

The study is made in Ophtalmology department at HASSAN II university hospital, Fez. Morocco SIDI MOHAMED BEN ABDELLAH university Fez Morocco

Methods:

A 48-yearold man presented at the hospital with an acute decreased visual acuity in his left eye. Relevant to his past ocular history, the patient had an eye trauma 15 years ago while hammering a metal object without safety glasses.

Results:

Concerning the left eye, the best-corrected visual acuity was 1/10, external and anterior segment examination revealed a nasal corneal opacity, with a retained metallic-like foreign body partially embedded in the infero-nasal iris at 8 o’clock position, the anterior chamber was formed with no inflammation. Besides, a cortico-nuclear cataract was noticed, with normal intraocular pressure and a normal fundus. Other foreign bodies were ruled out by CT scan. Specular microscopy indicated an endothelial cell density of 800 cells/mm². Retained iris foreign body as well as Cataract surgery removal were performed simultaneously without any incidents.

Conclusions:

Ocular injuries are frequent and in many cases carry a significant risk to vision. Metal Intraocular foreign body can cause acute serious complications. Early recognition and removal of the foreign body are recommended to prevent long-term vision worsening. Protective eyewear is critical to avoid ocular trauma, thus patient education and increased awareness are essential.

Financial Disclosure:

None