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Intralenticular metallic foreign body
Authors:Lawrence R. Lee MB BS   A Michael Briner FRACO  FRACS
Affiliation:Department of Ophthalmology, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Queensland 4102
Abstract:
Background: Intralenticular metallic foreign bodies may be well tolerated for many years.
Case Report: A 24-year-old Caucasian man was referred with an intralenticular metallic foreign body present in the left eye for five days. Following initial treatment with topical steroid and antibiotic, the lens remained clear and visual acuity normal. Two years later the left eye developed an anterior uveitis, with reduced vision. A left phacoemulsification lens extraction with removal of the intralenticular foreign body and insertion of a posterior chamber intraocular lens was performed.
Conclusion: Management of intralenticular metallic foreign bodies may be conservative till intraocular inflammation or cataract develops.
Keywords:intralenticular metallic foreign body    lens extraction    phacoemulsification    uveitis
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