Glass particle in anterior chamber: An unusual intraocular foreign body observed to have remained quiet for over 3 years

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Abstract (2. Language): 
Ocular trauma is an important cause of vision loss. An intraocular foreign body (IOFB) following ocular trauma may traumatize the eye mechanically, introduce infection or exert other toxic effects on the intraocular structures. We present a case of ocular trauma after blast injury, from a broken glass shield, with no PL vision, which was treated with repair of the corneal rupture with 10-0 MFN sutures along with aspiration of the cataractous lens 3 years back. A glass particle remained in the anterior chamber, which was observed during the post operative examination. The glass particle was kept under observation instead of an unnecessary second intervention for removal, as the patient had no PL vision due to traumatic optic neuropathy. The follow up was done for over a period of 3 years since then and the glass particle continued to remain inert and did not induce any form of reaction in the anterior chamber at any point of time. This observation helped us conclude that glass is indeed an inert material for the eye, a conclusion which can help design various prosthesis in the future of ophthalmology.



1. 1. Chen KC, Yang CS, Hsieh MC, Tsai HY, Lee FL, Hsu WM. Successful management of double
penetrating ocular trauma with retinal detachment and traumatic endophthalmitis in a child. J Chin Med
Assoc. 2008;71:159–62.
2. 2. Islam S, Walton GM, Dean F, Hoffman GR. Multidisciplinary management of complicated orbital
injury inflicted by a horse. Ophthal Plast Reconstr Surg. 2007;23:486–8.
3. 3. Mason JO, 3rd, Feist RM, White MF., Jr Ocular trauma from paintball-pellet war games. South Med
J. 2002;95:218–22.
4. 4. Wang Y, Lu X, Xiao L. Delayed presentation of grease-gun injury to the orbit. Ophthal Plast
Reconstr Surg. 2008;24:154–6.
5. 5. Salam A, Varma D, Innes JR. An unusual presentation of a retained orbital foreign body. CME J
Ophthalmol. 2005;8:11–2.
6. 6. Woodcock MG, Scott RA, Huntbach J, Kirkby GR. Mass and shape as factors in intraocular foreign
body injuries. Ophthalmology. 2006;113:2262–9.
7. Ghoraba H. Posterior segment glass intraocular foreign bodies following car accident or explosion.
Graefe's Arch Clin Exp Ophthalmol. 2002;240:524–528.
Indian Journal of Basic and Applied Medical Research; March 2015: Vol.-4, Issue- 2, P. 200-203
www.ijbamr.com P ISSN: 2250-284X , E ISSN : 2250-2858
8. Ray S, Friberg T, Beatty R, Loewenstein J. Late posterior migration of glass intraocular foreign bodies.
Arch Ophthalmol. 2004;122:923–926.
9. Gopal L, Banker AS, Deb N, Badrinath SS, Sharma T, Parikh SN, et al. Management of glass
intraocular foreign bodies. Retina. 1998;18 (3:213–220.
10. Milkowski S. Rare case of spontaneous migration of intraocular glass foreign body 21 years after
injury. Wiad Lek. 1978;31 (15:1065–1069.

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