Endoscopy-assisted removal of angle foreign body presenting as persistent localised corneal oedema

Author:

Nukala Naveen,Pappuru Rajeev Reddy,Dave Vivek Pravin

Abstract

A 20-year-old man presented to us with injury to the left eye by a glass bulb 3 weeks ago. The acute injury resolved with a peculiar residual localised corneal oedema in the inferior one-third of the cornea . This localised oedema in absence of any evidence of a localised visible injury to the cornea indicated towards a possible retained foreign body. The foreign body visibility was equivocal on gonioscopy. Subsequently via a limbal incision, an endoscope was introduced into the anterior chamber. The endoscopic view revealed the glass foreign body lodged into the inferior angle of the eye which was removed with the help of an intraocular forceps. Over the next week, the corneal oedema resolved completely.

Funder

Hyderabad Eye Research Foundation

Publisher

BMJ

Subject

General Medicine

Reference5 articles.

1. Non-Metallic foreign bodies in the anterior chamber;Archer;Br J Ophthalmol,1969

2. Foreign body embedded in anterior chamber angle;Graffi;Case Rep Ophthalmol Med,2012

3. A case of retained graphite anterior chamber foreign body masquerading as stromal keratitis;Han;Korean J Ophthalmol,2011

4. Long-Term corneal complication of retained anterior chamber-angle foreign body;Jastaneiah;Saudi J Ophthalmol,2010

5. Endoscopy-Assisted removal of Nonmagnetic metallic foreign body in anterior chamber angle;Xiao-Qiang;Ophthalmic Surg Lasers Imaging,2010

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