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Submitted: 2022-11-30
DOI: 10.35119/myjo.v7i2.358
Case Reports
Published: 2025-11-07

Intralenticular foreign body: a case report

Department of Ophthalmology, Hospital Raja Permaisuri Bainun, of Ipoh, Perak, Malaysia; University Malaya Eye Research Centre, Department of Ophthalmology, Kuala Lumpur, Selangor, Malaysia
Department Ophthalmology, Hospital Taiping, Taiping, Perak, Malaysia
Department of Ophthalmology, Hospital Raja Permaisuri Bainun, of Ipoh, Perak, Malaysia
intralenticular foreign body metallic foreign body penetrating injury traumatic cataract

Abstract

Background: To highlight the presentation, diagnosis, and management of a case of intralenticular foreign body.

Case report: A 51-year-old man with no known medical illness was referred for alleged metallic foreign body in the right eye while grinding a metal. Upon examination, visual acuity was 6/30 and 6/6 in the right and left eye, respectively. There was a self-sealed corneal laceration wound with an embedded metallic foreign body paracentrally at 5 o’clock, posterior synechiae, and traumatic cataract. Computed tomography of the orbit showed a hyperdense lesion in the lens. After removal of the foreign body, phacoemulsification with intraocular lens implantation, and corneal suturing, a postoperative computed tomography scan showed no signs of the hyperdense foreign body. The patient achieved a final best-corrected visual acuity of 6/7.5.

Conclusion: Penetrating eye injuries can lead to severe morbidity. Prompt diagnosis and early management, including imaging, are crucial in managing this type of injury.