Post Traumatic Metalosis after retained intraocular foreign body in Guatemala: Case Report

Author: Roberto Jule (El Salvador)

Co-authors: José Manuel del Cid, Ryan Bradshaw, José Ceballos, Juan Pablo Tovar

Purpose

To present a relevant case of post traumatic metalosis in a low-income eye care center in Guatemala City. To recall the importance of diagnostic images and its correlation in pre surgical setting.

Setting/Venue

National Ophthalmology Unit, Guatemala City, Central America

Methods

Case report. Retrospective review of a relevant case of post traumatic metalosis after retained intraocular foreign body in a low-income eye care center, Guatemala

Results

A 10-year-old male patient who two hours before consultation had a penetrating globe injury in his right eye while lighting non-certified fire crackers, visual acuity was hand motion and intraocular pressure was diminished. At presentation a 4.5mm corneoscleral laceration, peripheric iridotomy and post traumatic cataract was noted with high suspicion of intraocular foreign body. CT scan was performed and a metallic intraocular foreign body was diagnosed. Patient underwent corneoscleral wound repair, lens aspiration and anterior vitrectomy however due to poor visualization no foreign body was found. Patient clinical picture improved in a linear fashion until day 10 when severe inflammatory reaction in the anterior chamber, pars planitis and atrophic changes in retintal pigment epithelium were reported, In view of the clinical findings metalosis was suspected . An ultrasound bio microscopy showed a retroiridian foreign body allocated within the ciliary sulcus. Patient underwent pars plana vitrectomy with foreign body extraction and lens implantation successfully accomplished. Two weeks after surgery his visual acuity was 20/70. 1 year after surgery, vision remain stable and manteined retinal function.

Conlusions

ase report of a relevant post traumatic metalosis highlighted the importance of diagnostic images and its correlation in pre surgical setting a feature difficult to perform in a low- income eye care center with limited access to different diagnostic tools.

Financial Disclosure

NONE

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