Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
Users Online: 526

 

Home  | About Us | Editors | Search | Ahead Of Print | Current Issue | Archives | Submit Article | Instructions | Subscribe | Contacts | Login 
     


 
 
Table of Contents
LETTER TO THE EDITOR
Year : 2014  |  Volume : 4  |  Issue : 3  |  Page : 272-273

A case of treatment-resistant uveitis with intraocular foreign body


1 Department of Ophthalmology, School of Medicine, Harran University, Sanliurfa, Turkey
2 Department of Ophthalmology, Kayseri Training and Research Hospital, Kayseri, Turkey

Date of Web Publication23-Sep-2014

Correspondence Address:
Ali Akal
Department of Ophthalmology, School of Medicine, Harran University,Sanliurfa
Turkey
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5151.141492

Rights and Permissions

How to cite this article:
Akal A, Goncu T, Atas M, Demircan S, Ozkan U, Yuvaci I. A case of treatment-resistant uveitis with intraocular foreign body. Int J Crit Illn Inj Sci 2014;4:272-3

How to cite this URL:
Akal A, Goncu T, Atas M, Demircan S, Ozkan U, Yuvaci I. A case of treatment-resistant uveitis with intraocular foreign body. Int J Crit Illn Inj Sci [serial online] 2014 [cited 2019 Oct 21];4:272-3. Available from: http://www.ijciis.org/text.asp?2014/4/3/272/141492

Dear Editor,

Foreign objects can cause ocular damage in two major ways. First, they cause penetrating injuries and related complications, and the other caused by a foreign body infection, toxicity, and damage is caused by an inflammatory reaction. [1],[2] The purpose of presenting this case is to draw attention to intraocular foreign body research at patients showing no evidence of trauma disrupts the integrity of the globe, the lens subcapsular epithelial pigmentation levels in patients not responding to medical therapy.

An 18-year-old male patient with symptoms of blurred vision in the left eye for 1 month applied to eye clinic. The patient was taking intense treatment as a systemic and topical corticosteroid. All investigations were performed regarding the etiology of uveitis systemic. The etiology of uveitis could not be determined. In the patient history was working at the industrial zone, there was no history of trauma at eye and any systemic disease. In the eye examination, right eye to see 10/10, left eye see was at the level of hand movements. Intraocular pressures of the left and right eye were 9 and 6 mm Hg, respectively. Right eye was normal in fundus examination, left eye was not clearly evaluated due to the intense vitritis. At the slit-lamp biomicroscope examination, right eye findings were normal, there was not deep and superficial conjunctival hyperemia in the left eye examination. Intense pigment in the anterior chamber, flaire, subcapsular lens pigmentation at epithelial level was present [Figure 1]. Two-way head radiograph was asked from the patient. Intraocular foreign body was not detected due to superposition [Figure 2]. Metallic foreign body was detected at orbital computed tomography of intraocular 2.2 × 2.0 mm in size [Figure 3]. Intraocular foreign body was removed with 20G pars plana vitrectomy. Cataract extraction and intraocular lens implantation were performed in the same session. Postoperative intraocular pressure increased and YAG-laser iridotomy was done. Intraocular pressure was normal during follow-up. Vision in the left eye at the end of a 1-year follow-up of level was 1/10 level.
Figure 1: Pigment epithelial deposits are observed under the lens capsule

Click here to view
Figure 2: Intraocular foreign body in two-way head radiograph was not detected due to the superposition

Click here to view
Figure 3: The presence of focal hyperdensity at orbital computed tomography inside the left bulbus oculi with a dimension of 2.2 × 2 mm (foreign body)

Click here to view


In our patient, there was uveitis refractory to medical treatment. On examination, there was no evidence of foreign body in place. First, two-way head radiographs were asked from the patient to investigate the intraocular foreign body. Due to the nonvisualization of foreign body with the probability of bone superposition, orbital bone computed tomography was requested. At the tomography there was foreign body in the left eye. In the presence of the intraocular foreign body, surgery action should be planned according to the duration of exposure, on the nature, size, whether or not encapsulated, rather than in retinal toxicity. At patients with foreign bodies preserved and vision is clear, to follow the patient with taking into account the risks of surgery is preferable. [3],[4] In our case, due to the level of vision at hand movements and intense metallic foreign body with posterior uveitis, emergency pars plana vitrectomy was planned and performed. The foreign body was removed with forceps by preventing to drop it into the retina after implemented vitrectomy. As a result, intraocular foreign body should be kept in mind that in spite of medical treatment at a young age to relax in uveitis patients without evidence of any foreign body in the place of entry.

 
   References Top

1.Vatavuk Z, Pentz A. Combined clear cornea phacoemulsification, vitrectomy, foreign body extraction, and intraocular lens implantation. Croat Med J 2004:45:295-8.  Back to cited text no. 1
    
2.Hasanreisoðlu B. In: Turaçlý E, editor. Eye traumas, 7 th Ophthalmology course; 1987. p. 133 -43.  Back to cited text no. 2
    
3.Mester V, Kuhn F. Ferrous intraocular foreign bodies retained in the posterior segment: Management options and results. Int Ophthalmol 1998:22:355-62.  Back to cited text no. 3
    
4.Soheilian M, Feghi M, Yazdani S, Anisian A, Ahmadieh H, Dehghan MH, et al. Surgical managementof non-metallic and non-magnetic metallic intraocular foreign bodies. Ophthalmic Surg Lasers Imaging 2005:36:189-96  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    References
    Article Figures

 Article Access Statistics
    Viewed1193    
    Printed18    
    Emailed0    
    PDF Downloaded41    
    Comments [Add]    

Recommend this journal