Fluorescein angiographic findings in ocular siderosis.
OBJECTIVE
To report a case of siderosis from a retained intraocular iron foreign body manifesting localized retinal capillary nonperfusion documented by fluorescein angiography.


METHODS
Case Report. In a 35-year-old man with decreased vision in the left eye, studies included fundus photography, fluorescein angiography, visual field testing, and electrophysiology. Surgical foreign body extraction and histopathologic examination were performed.


RESULTS
Preoperatively, in the left eye, humphrey visual fields and electrophysiology testing revealed marked depression. Fluorescein angiography demonstrated nasal capillary nonperfusion with occlusion of the second- and third-order arterioles extending along a gradient from the foreign body. Microscopic examination of the lens capsule confirmed the diagnosis of siderosis secondary to a retained iron foreign body.


CONCLUSIONS
Extensive capillary nonperfusion may be associated with a retained iron intraocular foreign body, as documented by fluorescein angiography.
Shaikh
S
S
Department of Ophthalmology, Stanford University Medical Center, Stanford, California, USA. saads@earthlink.net
Blumenkranz
M S
MS
D000328:Adult; D004596:Electroretinography; D005129:Eye Foreign Bodies / Q000175:diagnosis* / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000175:diagnosis* / Q000601:surgery; D005451:Fluorescein Angiography; D006801:Humans; D007501:Iron; D008297:Male; D012160:Retina / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D012171:Retinal Vessels / Q000473:pathology; D012806:Siderosis / Q000175:diagnosis* / Q000601:surgery
D007501:Iron