Published online Jun 26, 2021. doi: 10.12998/wjcc.v9.i18.4778
Peer-review started: January 5, 2021
First decision: March 27, 2021
Revised: April 1, 2021
Accepted: April 23, 2021
Article in press: April 23, 2021
Published online: June 26, 2021
Processing time: 156 Days and 15.1 Hours
Intralenticular foreign body is rarely encountered in ophthalmic practice. In most cases, subsequent traumatic cataract requires cataract surgery for visual rehabilitation.
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.
For intralenticular FB in the anterior cortex under the capsule, magnet may be a more advantageous way to remove the object.
Core Tip: Intralenticular foreign body is rarely encountered in ophthalmic practice. In most of these studies, the lens was either preserved without intraocular foreign body removal or removed together with intraocular foreign bodies. The present case report is about successful retrieval of a foreign body from the lens while the lens is preserved, with resultant stable visual function.