A 36 year old mechanic was hammering on some iron rods when suddenly his right eye was hit by a flying metal piece and he felt a sharp pain in the eye followed by dimness of vision. He was brought to an Ophthalmologist who suspected an Intraocular foreign body. So he was referred to a retinal surgeon for further management.
On examination his vision in the right eye was 6/12p while left eye was
6/6. Ocular examination showed mild redness of the right eye and a small
white mark in the cornea with surrounding edema, which was probably the
site of injury. Lens showed localized opacity (cataract) in the
lower part indicating the area where the foreign body hit the lens.
Fundus examination revealed a small shiny piece (foreign body) in the
lower periphery, just on the retinal surface. The patient was explained
that the surgery to remove the foreign body would not improve his vision
much but it was essential to remove the piece because if left inside it
would cause chronic inflammation and damage in the eye in future.
The patient underwent Pars Plana Vitrectomy to remove the
foreign body. After the vitreous removal the metallic piece was lifted
up with a magnet and brought out of the eye. Meticulous examination of
the retinal periphery did not show any tear. The cataract and the
corneal opacity were not treated, as they were small, localized and not
interfering in the central vision. Postoperative vision of the patient