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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 8  |  Page : 1341

Retained gold intralenticular foreign body


Department of Retina, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India

Date of Web Publication22-Jul-2019

Correspondence Address:
Dr. Devashish Dubey
Department of Retina, Sadguru Netra Chikitsalaya, Chitrakoot - 210 204, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_145_19

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How to cite this article:
Dubey D, Karkhur S, Sen A. Retained gold intralenticular foreign body. Indian J Ophthalmol 2019;67:1341

How to cite this URL:
Dubey D, Karkhur S, Sen A. Retained gold intralenticular foreign body. Indian J Ophthalmol [serial online] 2019 [cited 2019 Dec 10];67:1341. Available from: http://www.ijo.in/text.asp?2019/67/8/1341/263112



A 33-year-old male, goldsmith by occupation, presented with blurring of vision in the left eye since past 1 month. Six months ago, a gold fragment struck his left eye resulting in an untreated trauma. On examination, his best corrected distance visual acuity was 20/30 in the left eye. Anterior segment evaluation revealed a nasal self-sealed corneal perforation with associated iris defect, a 3 × 2 mm gold intralenticular foreign body (FB) along with posterior subcapsular cataract [Figure 1]. Posterior segment examination was within normal limits. Complications such as cataract, uveitis, glaucoma, endophthalmitis, and intraocular metallosis have rarely been reported in a case of intralenticular FB.[1] For large FB, in the visual axis or causing complications, early lens/cataract extraction with FB removal is preferred.[2] As the FB was intralenticular with no signs of intraocular inflammation or metal deposition, and that gold is inert to the ocular tissues, patient was advised observation and periodic follow-up.[3],[4] Another case has been reported in literature of a gold intraocular FB.[4]
Figure 1: (a) Anterior segment picture showing the self-sealed corneal perforation with iris defect and gold intralenticular FB. (b) Retro illumination showing posterior subcapsular cataract along with patent iris defect

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Macken PL, Boyd SR, Feldman F, Heathcote JG, Steiner M, Billson FA. Intralenticular foreign bodies: Case reports and surgical review. Ophthalmic Surg 1995;26:250-2.  Back to cited text no. 1
    
2.
Reddy SC. Intralenticular metallic foreign body: A case report. Int J Ophthalmol 2011;4:326-8.  Back to cited text no. 2
    
3.
Dhawahir-Scala FE, Kamal A. Intralenticular foreign body: A D-day reminder. Clin Exp Ophthalmol 2005;33:659-60.  Back to cited text no. 3
    
4.
Sen SC, Ghosh AB. Gold as an intraocular foreign body. Br J Ophthalmol 1983;67:398-9.  Back to cited text no. 4
    


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