Intralenticular metallic foreign body- a case report.doc

Intralenticular metallic foreign body: a case report
(作者:___________单位: ___________邮编: ___________)
作者:XiuQin Zhao1, Xin Zhao , WenZhong Yang , Jie Yang, Dennis Lam
【摘要】 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.
【关键词】 intralenticular foreign body; anterior uveitis; traumatic cataract; rating eye injury
INTRODUCTION
Intralenticular foreign bodies are rarely seen in ophthalmic practice. They constitute only 5%[1] of all intraocular foreign bodies and may have plications than other intraocular foreign bodies. In most cases the lens es opaque requiring cataract surgery for visual rehabilitation [29]. The most plication of a retained iron containing foreign body in the lens is the development of siderosis bulbi , a sight threatening condition [5,10] . Very rarely, the foreign body may not produce any inflammatory reaction in the eye, and it may be detected during slit lamp examination of the eye for cataract surgery [11,12] or during cataract operation [13]. A case of intralenticular metallic foreign body in a young man with good vision at presentation, who developed cataract after six months resulting in visual disability is reported.
CASE REPORT
A 45 year old man presented to the eye clinic with history of injury to the right eye three days before while hammering a nail at the construction work place. He had mild redness of right eye associated with blurrin