Inert angle foreign body with late manifestation.

A 26-year-old male presented with defective vision and pain in the right eye since 3 days. He gave a history of trauma to the right eye 18 years ago. Visual acuity in the right eye was 20/40. Slit-lamp examination showed circum corneal congestion, full-thickness corneal scar superonasally, inferior corneal edema, deep anterior chamber, and clear lens [Fig. 1a and b]. Intraocular pressure was 16 mmHg. Gonioscopy revealed a foreign body in the inferior angle [Fig. 1c]. Posterior segment examination was normal. He underwent foreign body removal, and at final follow-up, his eye was quiet with 20/20 vision [Fig. 1d]. Presence of retained intraocular foreign body should be suspected in a patient with recurrent ocular inflammation and history of penetrating injury.[123]

Figure 1

Slit-lamp photograph of the right eye showing corneal edema (a) and full-thickness corneal scar (arrow) (b), gonioscopy showing foreign body in the angle (c). and postoperative picture showing clear cornea (d)

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