|Year : 2019 | Volume
| Issue : 8 | Page : 1341
Retained gold intralenticular foreign body
Devashish Dubey, Samendra Karkhur, Alok Sen
Department of Retina, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India
|Date of Web Publication||22-Jul-2019|
Dr. Devashish Dubey
Department of Retina, Sadguru Netra Chikitsalaya, Chitrakoot - 210 204, Madhya Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Dubey D, Karkhur S, Sen A. Retained gold intralenticular foreign body. Indian J Ophthalmol 2019;67:1341
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. For large FB, in the visual axis or causing complications, early lens/cataract extraction with FB removal is preferred. 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., Another case has been reported in literature of a gold intraocular FB.
|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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