Pterygium surgery combined with the removal of a missed occult iris foreign body detected incidentally during pterygium examination: a case report

An occult foreign body may be retained in patient with small self-sealing wound and no decreased visual acuity without complete examination. Here we report a case of a retained occult ferrous iris foreign body detected incidentally during pterygium examination. A 69-year-old man presented to our oph...

Full description

Saved in:
Bibliographic Details
Published in:BMC ophthalmology 2019-01, Vol.19 (1), p.4-4, Article 4
Main Authors: Su, Zhitao, Yin, Houfa, Ye, Panpan, Huang, Xiaodan, Zhang, Li, Fu, Jianyun, Xie, Xin
Format: Article
Language:English
Subjects:
Acuity
Case Report
Case reports
Cataracts
Combined surgery
Cornea
Foreign bodies
Human remains
Iris
Iron compounds
Medical imaging
Medical schools
Occult iris foreign body
Ophthalmology
Pterygium
Surgery
Trauma
Ultrasonic imaging
Ultrasound
Viscoelasticity
Wounds
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:An occult foreign body may be retained in patient with small self-sealing wound and no decreased visual acuity without complete examination. Here we report a case of a retained occult ferrous iris foreign body detected incidentally during pterygium examination. A 69-year-old man presented to our ophthalmology department because of foreign body sensation and persistent redness in both eyes for 2 years. In the left eye, a pterygium, paracentral corneal opacity and a vertically oval pupil were observed. Ultrasound biomicroscopy and gonioscopy revealed a retained metallic-like foreign body partially embedded in the inferior peripheral iris. Pterygium surgery and the removal of the retained iris foreign body were performed simultaneously. No recurrent pterygium or residual foreign body was found during follow-up. A thorough history should be obtained and complete physical examination should be performed in patients with ocular self-sealing wounds to prevent missed intraocular foreign bodies, which may result in potential sight-threatening ocular complications.
ISSN:1471-2415
1471-2415
DOI:10.1186/s12886-018-1020-y