A 49-year-old man had been seen 1 month prior by a general ophthalmologist for a healing corneal abrasion. On examination, there was a dense vitreous hemorrhage and a subtle iris transillumination defect suspicious for an occult intraocular foreign body (IOFB; Fig. 1A). A computed tomography scan confirmed an IOFB that extended from the inferior posterior iris to the posterior pole (Fig. 1B). Intraoperatively, the traumatic cataract was removed along with the ruptured capsular bag (Video 1, available online). Given its size, the IOFB was removed through a corneal incision and the pupil (Fig. 1C), measuring 17 mm (Fig. 1D). An endolaser was applied for retinal tears, silicone oil tamponade was placed, and the patient was left aphakic. Subsequently, silicone oil was removed, and an intraocular lens was placed and suture fixated to the iris given the absence of capsular support, and the final vision was 20/30.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Canadian Journal of Ophthalmology
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
Published online: April 14, 2021
Accepted: March 18, 2021
Received in revised form: March 16, 2021
Received: March 7, 2021
© 2021 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.