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Retained iron intraocular foreign body with late onset siderotic glaucoma: a clinical challenge
  1. Lisika Gawas1,
  2. Nibedita Sahoo1 and
  3. Tapas Ranjan Padhi2
  1. 1Glaucoma Services, LV Prasad Eye Institute, Bhubaneswar, Odisha, India
  2. 2Vitreoretina Services, LV Prasad Eye Institute, Bhubaneswar, Odisha, India
  1. Correspondence to Dr Nibedita Sahoo; dr.niveditasahoo{at}


Siderotic glaucoma is a rare and challenging clinical scenario caused by a retained iron intraocular foreign body (IOFB), which results in irreversible vision loss. Presented here is a case of secondary open-angle glaucoma in a 36-year-old man that was refractory to maximal medical therapy. A meticulous history and careful clinical examination revealed that he had a penetrating trauma 15 years ago, a self-sealed corneal entry wound, open angles, a retained encapsulated metallic IOFB and siderosis bulbi. Removal of the foreign body not only controlled intraocular pressure, but also improved vision.

  • glaucoma
  • retina

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  • Contributors Case was reported by NS and TRP. Case structured by LG. Case refined by NS and TRP.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.

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