Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (7): 129-132.doi: 10.6040/j.issn.1671-7554.0.2021.1421

Previous Articles    

A case report of corneoscleral iron filing-like foreign body

REN Dazhuang, ZHOU Weiyan, ZHAO Bojun   

  1. Department of Ophthalmology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250021, Shandong, China
  • Published:2022-07-27

PDF (PC)

21

Abstract: Objective To investigate the clinical manifestations, imaging features and surgical method of a patient diagnosed with corneoscleral foreign body, in order to improve the diagnosis and treatment of this disease. Methods The clinical data of the patient were retrospectively analyzed, and relevant literature was reviewed. Results The patient was a 31-year-old male whose left eye was injured by the crashing of iron filing one month ago. After the injury, the foreign body was removed in a local hospital, but he still had a sensation of foreign body. Ophthalmological examination showed pus plug in the anterior chamber angle, but no obvious foreign body was detected. After orbital CT and ultrasound biomicroscopy(UBM)examination, corneoscleral foreign body was diagnosed and the foreign body was removed with surgery. Conclusion Corneoscleral foreign body is one of the common ophthalmic diseases, but it is hard to diagnose if the duration is long. For such patients, medical history should be collected timely and imaging examinations should be conducted to reduce the rate of misdiagnosis.

Key words: Corneoscleral foreign body, Ocular trauma, Ultrasound biomicroscopy

CLC Number: 

  • R779.12
[1] Kuhn F, Morris R, Witherspoon CD, et al. A standardized classification of ocular trauma[J]. Ophthalmology, 1996, 103(2): 240-243.
[2] Yang CS, Hsieh MH, Hou TY. Predictive factors of visual outcome in posterior segment intraocular foreign body [J]. J Chin Med Assoc, 2019, 82(3): 239-244.
[3] Anguita R, Moya R, Saez V, et al. Clinical presentations and surgical outcomes of intraocular foreign body presenting to an ocular trauma unit [J]. Graefes Arch Clin Exp Ophthalmol, 2021, 259(1): 263-268.
[4] Casini G, Sartini F, Loiudice P, et al. Ocular siderosis: a misdiagnosed cause of visual loss due to ferrous intraocular foreign bodies-epidemiology, pathogenesis, clinical signs, imaging and available treatment options [J]. Doc Ophthalmol, 2021, 142(2): 133-152.
[5] Chao HM, Chen YH, Liu JH, et al. Iron-generated hydroxyl radicals kill retinal cells in vivo: effect of ferulic acid [J]. Hum Exp Toxicol, 2008, 27(4): 327-339.
[6] Tripathy K, Chawla R, Temkar S, et al. Phthisis bulbi-a clinicopathological perspective [J]. Semin Ophthalmol, 2018, 33(6): 788-803.
[7] Siu AW, Cheung JP, To CH, et al. N-acetyl-serotonin reduces copper(I)ion-induced lipid peroxidation in bovine retinal homogenates [J]. Acta Ophthalmol Scand, 2001, 79(1): 69-71.
[8] Politis M, Rosin B, Amer R. Ocular siderosis subsequent to a missed pars plana metallic foreign body that masqueraded as refractory intermediate uveitis [J]. Ocul Immunol Inflamm. 2018, 26(4): 598-600.
[9] Chowdhary S, Garg P, Sawhney V, et al. Unusual missed diagnosis of foreign body: a case report [J]. Int Med Case Rep J, 2020, 13: 187-190.
[10] Modjtahedi BS, Rong A, Bobinski M, et al. Imaging characteristics of intraocular foreign bodies: a comparative study of plain film X-ray, computed tomography, ultrasound, and magnetic resonance imaging [J]. Retina, 2015, 35(1): 95-104.
[11] Martin R. Cornea and anterior eye assessment with slit lamp biomicroscopy, specular microscopy, confocal microscopy, and ultrasound biomicroscopy [J]. Indian J Ophthalmol, 2018, 66(2): 195-201.
[12] Silverman RH. High-resolution ultrasound imaging of the eye-a review [J]. Clin Exp Ophthalmol, 2009, 37(1): 54-67.
[13] Moura MF, Hayashi I, Rocha DM, et al. Evaluation of anterior segment foreign bodies with ultrasound biomicroscopy [J]. Arq Bras Oftalmol, 2012, 75(2): 122-125.
[14] Rong AJ, Fan KC, Golshani B, et al. Multimodal imaging features of intraocular foreign bodies [J]. Semin Ophthalmol, 2019, 34(7,8): 518-532.
[15] Deramo VA, Shah GK, Baumal CR, et al. Ultrasound biomicroscopy as a tool for detecting and localizing occult foreign bodies after ocular trauma [J]. Ophthalmology, 1999, 106(2): 301-305.
[1] QU Jiangbo1, XIA Wei1, GE Shuping1, XIE Mingxing2, ZHENG Minjuan3, SUN Ruopeng1. Feasibility of HFB and tissue Doppler in evaluating cardiac function of DCM mice [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(7): 52-55.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] MA Qingyuan, PU Peidong, HAN Fei, WANG Chao, ZHU Zhoujun, WANG Weishan, SHI Chenhui. Effect of miR-27b-3p regulating SMAD1 on osteosarcoma cell proliferation, migration and invasion[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 32 -37 .
[2] SUO Dongyang, SHEN Fei, GUO Hao, LIU Lichang, YANG Huimin, YANG Xiangdong. Expression and mechanism of Tim-3 in animal model of drug-induced acute kidney injury[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 1 -6 .
[3] LONG Tingting, XIE Ming, ZHOU Lu, ZHU Junde. Effect of Noggin protein on learning and memory abilities and the dentate gyrus structure after cerebral ischemia reperfusion injury in mice[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 15 -23 .
[4] LI Ning, LI Juan, XIE Yan, LI Peilong, WANG Yunshan, DU Lutao, WANG Chuanxin. Expression of LncRNA AL109955.1 in 80 cases of colorectal cancer and its effect on cell proliferation, migration and invasion[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 38 -46 .
[5] ZHANG Baowen, LEI Xiangli, LI Jinna, LUO Xiangjun, ZOU Rong. miR-21-5p targeted TIMP3 to inhibit proliferation and extracellular matrix accumulation of mesangial cells in Type II diabetic nephropathy mice[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 7 -14 .
[6] FU Jieqi, ZHANG Man, ZHANG Xiaolu, LI Hui, CHEN Hong. Molecular mechanism of Toll-like receptor 4 in the aggravation of blood lipid accumulation by inhibiting the peroxisome proliferator-activate receptor γ[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 24 -31 .
[7] DING Xiangyun, YU Qingmei, ZHANG Wenfang, ZHUANG Yuan, HAO Jing. Correlation of the expression of insulin-like growth factor II in granulosa cells and ovulation induction outcomes of 84 patients with polycystic ovary syndrome[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 60 -66 .
[8] XU Yuxiang, LIU Yudong, ZHANG Peng, DUAN Ruisheng. A retrospective analysis of risk factors of cerebral microbleeds in 101 patients with cerebral small vessel disease[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 67 -71 .
[9] SHI Shuang, LI Juan, MI Qi, WANG Yunshan, DU Lutao, WANG Chuanxin. Construction and application of a miRNAs prognostic risk assessment model of gastric cancer[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 47 -52 .
[10] GUO Zhihua, ZHAO Daqing, XING Yuan, WANG Wei, LIANG Leping, YANG Jing, ZHAO Qianqian. Single-stage end-to-end anastomosis in the management of severe cervical tracheal stenosis[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 72 -76 .
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd