A Case of Intralenticular Foreign Body after Self-Healed Penetrating Corneal Trauma

A forty-three year old male patient presented due to an intralenticular metallic foreign body surrounding a traumatic cataract, three months after penetrating corneal injury during grinder work. Slit lamp biomicroscopy revealed a small faint opacity in the midperiphery at the superotemporal area in his right eye. The Seidel test was negative. A peripheral anterior subcapsular cataract and a 1.5 x 1.0 mm sized metallic foreign body near the equator and surrounding the cortical opacity were found. Ultrasound biomicroscopy showed high echogenicity near the lens equator and an accompanying acoustic shadowing posteriorly. His uncorrected and corrected vision was 20/20, but mild blurry vision existed. The planned surgery for intraocular foreign body removal was performed four months after injury. After temporal clear corneal incision and careful continuous curvilinear capsulorrhexis, the foreign body was removed using intraocular foreign body forceps. Following phacoemulsification with posterior chamber lens (PCL), implantation was successfully carried out. At one month follow-up, his uncorrected and corrected vision was 20/20 and intraocular pressures (IOP) was within the normal range.