[Siderosis bulbi after injury by an intraocular metal foreign body].

Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
N TeraiL E Pillunat

Abstract

We report the case of a 42-year-old patient who presented with unilateral loss of vision in the left eye. The clinical examination revealed retinal detachment and a low intraocular pressure was found in the left eye. Except for an extinct electroretinogram (ERG) and a siderosis bulbi in the left eye no signs of an intraocular body were detectable, either in the ultrasound B-scan or in the clinical examination. Pars plana vitrectomy with silicon oil tamponade was performed and revealed an iron-containing body next to the fovea which was removed without any complications. Despite an initially easily visible retinal detachment, a newly acquired siderosis bulbi in combination with ocular trauma in the clinical history should raise the suspicion of a residual intraocular iron foreign body, until this can be disproven.

References

Feb 25, 1999·American Journal of Ophthalmology·D O'Duffy, J F Salmon
Aug 31, 2000·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·M ImaizumiK Nakatsuka
Feb 13, 2001·American Journal of Ophthalmology·S Shaikh, M S Blumenkranz
Sep 3, 2004·Klinische Monatsblätter für Augenheilkunde·F KuhnR Morris
Oct 3, 2008·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·W F Schrader, A Viestenz
Feb 3, 2009·Journal of the Chinese Medical Association : JCMA·Tsung-Tien WuCheng-An Yang

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