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Intralenticular metallic foreign body ‘locked-in’ the posterior capsule and the utility of multimodal imaging
  1. Yogita Gupta,
  2. Neiwete Lomi,
  3. Vinay S Patil and
  4. Saumya Yadav
  1. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Yogita Gupta; yogitagupta30{at}gmail.com

Abstract

Intraocular foreign bodies (FBs) are common ocular injuries reporting to the emergency services all over the world. The authors highlight the findings and surgical management of a case of intralenticular metallic FB following an injury while using chisel and hammer. The ocular path of the FB (2 mm) could be traced from a self-sealed corneal perforation, extending through the anterior capsule rupture, terminating at the posterior capsule, forming a posterior capsule tent with a part embedded in clear lens. Preoperative ultrasound biomicroscopy gave clues on posterior capsule integrity and the exact site of FB, and helped prognosticate and plan the surgical management of the case. The ‘locked-in’ FB was extracted after clear lens aspiration and posterior capsulorrhexis. The posterior capsule acted as a natural barrier between anterior and posterior segment, where the FB was found embedded.

  • ophthalmology
  • anterior chamber
  • visual pathway

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Footnotes

  • Contributors YG, NL, VSP and SY all contributed to the manuscript conception and ideation. YG and VSP collected the data. YG, NL, VSP and SY did data interpretation and analysis. All helped in the preparation of the first draft. NL did the final proofreading of the manuscript. All approved the final draft.

  • 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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