Xue C, Chen Y, Gao YL, Zhang N, Wang Y. Disappeared intralenticular foreign body: A case report. World J Clin Cases 2021; 9(18): 4778-4782 [PMID: 34222447 DOI: 10.12998/wjcc.v9.i18.4778]
Corresponding Author of This Article
Yan Wang, MD, PhD, Professor, Department of Ophthalmology, Tianjin Eye Hospital, No. 4 Gansu Road, Heping District, Tianjin 300020, China. wangyan7143@vip.sina.com
Research Domain of This Article
Ophthalmology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 26, 2021; 9(18): 4778-4782 Published online Jun 26, 2021. doi: 10.12998/wjcc.v9.i18.4778
Disappeared intralenticular foreign body: A case report
Chao Xue, Ying Chen, Yan-Lin Gao, Nan Zhang, Yan Wang
Chao Xue, Ying Chen, Yan-Lin Gao, Nan Zhang, Yan Wang, Department of Ophthalmology, Tianjin Eye Hospital, Tianjin 300020, China
Author contributions: Xue C, Chen Y, Gao YL, and Zhang N are co-first authors of this article; Xue C and Chen Y managed the patient, performed the operation, reviewed the literature, and contributed to manuscript drafting; Gao YL and Zhang N did special eye examinations, reviewed the literature, and contributed to manuscript drafting; Wang Y were responsible for the revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: No conflicting relationship exists for any author.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan Wang, MD, PhD, Professor, Department of Ophthalmology, Tianjin Eye Hospital, No. 4 Gansu Road, Heping District, Tianjin 300020, China. wangyan7143@vip.sina.com
Received: January 5, 2021 Peer-review started: January 5, 2021 First decision: March 27, 2021 Revised: April 1, 2021 Accepted: April 23, 2021 Article in press: April 23, 2021 Published online: June 26, 2021
Abstract
BACKGROUND
Intralenticular foreign body is rarely encountered in ophthalmic practice. In most cases, subsequent traumatic cataract requires cataract surgery for visual rehabilitation.
CASE SUMMARY
A 35-year-old man was injured by iron filings in his left eye. After the injury, the patient tried to draw the object out by himself using a magnet; however, the foreign body (FB) was pushed to the equator of the lens. The FB was removed by a magnet through the anterior chamber accessed through the original capsular wound. Since most of the lens was transparent and only partially opaque after the operation, the lens was kept under close observation. After the surgery, the patient’s visual acuity reached 20/20 from 2/20, visual function recovered very well, and local opacity of the lens remained stable.
CONCLUSION
For intralenticular FB in the anterior cortex under the capsule, magnet may be a more advantageous way to remove the object.
Core Tip: Intralenticular foreign body is rarely encountered in ophthalmic practice. In most of these studies, the lens was either preserved without intraocular foreign body removal or removed together with intraocular foreign bodies. The present case report is about successful retrieval of a foreign body from the lens while the lens is preserved, with resultant stable visual function.
