ATYPICAL CASE OF RETAINED INTRAOCULAR FOREIGN BODY PRESENTING AS SECONDARY GLAUCOMA AFTER 12 YEARS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 13
Abstract
Atypical case of retained intraocular foreign body presenting as secondary glaucoma after 12 years. To report a case of retained intraocular foreign body presenting as glaucoma after 12 yrs. A 24 yrs old male patient came to OPD, with pain & redness in right eye since 2 days. He was operated for cataract 12 years back. On examination, OD VA- hand movements. Slit lamp examination revealed corneal edema and deep anterior chamber. Rest of the details was not clear. OS Findings were normal. [b]IOP[/b]: OD- 50 mmHg, OS-16 mmHg. After control of IOP with medications, following findings were noted: Corneal scar in paracentral zone. RAPD present in right eye. Iris hole present at 3’0 clock position. [b]FUNDUS[/b]: Vitreous is clear. Intraocular foreign body of size half disc diameter present over the optic disc. Disc is pale, with attenuated vessels & peripapillary pigmentary changes. Yellowish speckled lesions present surrounding the vessels and dull foveal reflex. Gonioscopy revealed open angles with increased pigmentation. Visual fields showing advanced field defects. CT & B scan showing radio opaque foreign body over disc. Electro retinogram of right eye showing reduced response to all stimuli. Removal of foreign body not done because of poor visual prognosis & risk of symphathetic ophthalmitis. [b]CONCLUSION[/b]: Retained metallic Intraocular foreign body can manifest after many years with varied presentation like secondary glaucoma without classical features of siderosis bulbi.
Authors and Affiliations
Chandrakant Pujar, Narayan M, Sai Sushma , Prabhu , Padmini
Keywords
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- EP ID EP127802
- DOI 10.14260/jemds/2015/320
- Views 74
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