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.
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Article info
Publication history
Published online: April 14, 2021
Accepted:
March 18,
2021
Received in revised form:
March 16,
2021
Received:
March 7,
2021
Identification
Copyright
© 2021 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
