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Phacoemulsification and posterior chamber intraocular lens implantation in a case of intralenticular metallic foreign body

Poster Details

First Author: L.Violante PORTUGAL

Co Author(s):    C. Fonseca   N. Oliveira   F. Henriques   C. Lobo   J. Murta        

Abstract Details

Purpose:

To describe a case of full-thickness corneal laceration and intralenticular metallic foreign body (FB) causing traumatic cataract and anterior chamber reaction. Phacoemulsification and primary posterior chamber intraocular lens (IOL) was performed.

Setting:

Ocular trauma and intraocular foreign body presenting with traumatic cataract.

Methods:

We report the case of a 84-year-old man referred to the emergency department for trauma to his left eye while working in agriculture. Upon presentation best-corrected visual acuity was finger counting at 2m and a self-sealed, 2-mm full thickness corneal laceration, anterior chamber reaction, anterior lens capsule puncture and traumatic cataract were evident. Orbital CT showed a metallic intralenticular foreign body, with 3-mm of largest axis. The patient underwent surgery and the FB was removed, after performing capsulorhexis, with the capsulorhexis forceps. Cataract phacoemulsification was performed and after confirming posterior capsule integrity, primary capsular bag IOL implantation was defined.

Results:

The surgery and post-operative period underwent without any complications and the patient achieved good visual results.

Conclusions:

In the majority of cases, early FB removal is the treatment of choice because after penetrating anterior lens capsule, traumatic visually significant cataract, severe intraocular inflammation and glaucoma may develop. In this case, a 3mm FB was retained in the lens cortex without compromising the posterior capsule, thus allowing safe cataract phacoemulsification and primary IOL implantation.

Financial Disclosure:

NONE

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