Disappeared intralenticular foreign body: A case report

BACKGROUND Intralenticular foreign body is rarely encountered in ophthalmic practice. In most cases, subsequent traumatic cataract requires cataract surgery for visual rehabilitation. CASE SUMMARY A 35-year-old man was injured by iron filings in his left eye. After the injury, the patient tried to draw the object out by himself using a magnet; however, the foreign body (FB) was pushed to the equator of the lens. The FB was removed by a magnet through the anterior chamber accessed through the original capsular wound. Since most of the lens was transparent and only partially opaque after the operation, the lens was kept under close observation. After the surgery, the patient's visual acuity reached 20/20 from 2/20, visual function recovered very well, and local opacity of the lens remained stable. CONCLUSION For intralenticular FB in the anterior cortex under the capsule, magnet may be a more advantageous way to remove the object.

Automated summary

In this case, a 35-year-old man injured by iron filings in his left eye successfully had the intralenticular foreign body removed with a magnet. Following the surgery, his visual acuity and function improved significantly, while local opacity of the lens remained stable.