[Siderosis bulbi after injury by an intraocular metal foreign body].
We report the case of a 42-year-old patient who presented with unilateral loss of vision in the left eye. The clinical examination revealed retinal detachment and a low intraocular pressure was found in the left eye. Except for an extinct electroretinogram (ERG) and a siderosis bulbi in the left eye no signs of an intraocular body were detectable, either in the ultrasound B-scan or in the clinical examination. Pars plana vitrectomy with silicon oil tamponade was performed and revealed an iron-containing body next to the fovea which was removed without any complications. Despite an initially easily visible retinal detachment, a newly acquired siderosis bulbi in combination with ocular trauma in the clinical history should raise the suspicion of a residual intraocular iron foreign body, until this can be disproven.
Terai
N
N
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Carl Gustav Carus Dresden, Fetscherstraße 74, 01307 Dresden. naim.terai@uniklinikum-dresden.de
Sandner
D
D
Kissner
A
A
Pillunat
L E
LE
D000328:Adult; D005129:Eye Foreign Bodies / Q000150:complications* / Q000601:surgery*; D006801:Humans; D007501:Iron / Q000506:poisoning*; D008297:Male; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery*; D012164:Retinal Diseases / Q000209:etiology* / Q000517:prevention & control; D012806:Siderosis / Q000209:etiology* / Q000517:prevention & control; D016896:Treatment Outcome
D007501:Iron