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   Table of Contents      
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
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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 2020 May 27];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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  References Top

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
Reddy SC. Intralenticular metallic foreign body: A case report. Int J Ophthalmol 2011;4:326-8.  Back to cited text no. 2
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
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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