doiSerbia

Intraocular foreign body removal: Case report

Kovačević Igor (Klinički centar Srbije, Klinika za očne bolesti, Beograd)
Gaković Aleksandar (Klinički centar Srbije, Klinika za očne bolesti, Beograd)
Stefanović Ivan (Klinički centar Srbije, Klinika za očne bolesti, Beograd)
Đurić Smiljka (Klinički centar Srbije, Klinika za očne bolesti, Beograd)
Davidović Sofija (Klinički centar Vojvodine, Klinika za očne bolesti, Novi Sad)
Biševac Jovana (Klinički centar Srbije, Klinika za očne bolesti, Beograd)

Introduction. An intraocular foreign body may traumatize the eye mechanically, introduce infection or exert other toxic effects on the intraocular structures. Removal of a metallic intraocular foreign bodies (IOFB) use an internal (vitrectomy followed by forceps or internal magnet use) or external approach (large electromagnet). Outline of Cases. A 51-year-old man sustained injury of the left eye by a metal foreign body. On admission visual acuity was normal (VOS=1.0) and intraocular tension was within normal limits (TOS=10 mmHg). Nasal scleral entry wound was noticed. Ultrasound of the left eye was done, which confirmed existence of IOFB laying nasally, next to the ciliary body. Extraction of IOFB with a big electric magnet was done. Visual acuity on discharge was the same (VOS=1.0). Another man, aged 30 years, came to the clinic after injury of the left eye by a foreign body. On admission visual acuity was VOS=L+P+ (light and projection), TOS=44 mmHg (higher), traumatic cataract, scleral entry wound, corneal edema, existence of IOFB and initial endophtalmitis. Lensectomia and vitrectomia via pars plana with IOFB extraction were done. Visual acuity on discharge was VOS=5/60 with +6.50 Dsph = 0.3-0.4; TOS=17 mmHg. Conclusion. Magnet removal is indicated in patients when IOFB is laying free in the vitreous body or stopped near the entry wound during injury without other complications. Internal approach - pars plana vitrectomy with forceps removal is used when IOFB is stuck either on the peripheral or posterior part of the retina or if there are some of aforementioned complications.

Keywords: intraocular foreign body, magnet, pars plana vitrectomy