Dr.Vidya J

Dr.Arun Bhatti , Dr.Sirisha Vinzamuri

Abstract

Aim: To emphasize the significance of meticulous investigation and early treatment in ocular trauma.
Introduction: Intra-Ocular Foreign Bodies (IOFB) contribute 16-41% of open globe injuries, mostly located in the posterior segment of the eye. Clinical presentation: A 19-year-old hosiery worker suffered an ocular injury while dashing off a cloth, causing immediate visual loss in the left eye. Primary corneal laceration repair was done, but the patient later presented with pain, redness, watering and loss of vision. Vision was PL positive and PR inaccurate in the left eye and 6/9 in the right eye. B-scan and X-ray revealed a large IOFB with vitreous exudates. He underwent micro incision vitrectomy surgery with IOFB removal (21mm iron nail) & silicon oil insertion. Conclusion: Patients history should not be solely relied upon. Comprehensive evaluation and early investigations are essential to minimize the incidence of endophthalmitis and vision loss caused by undetected IOFBs.