, Dr. RUPAK KANTI BISWAS, Dr. MAHARSHI MAITRA, Dr. SHIRSHENDU MAHATO
Abstract
A 46 years old male presented with reduced vision in his Left eye since the last 2 weeks following penetrating trauma. Best Corrected Visual Acuity was 6/6 in the Right Eye and Perception of light (PL) in the Left Eye. Patient gave a history of scleral tear repair. Vitreous exudation obscuring the view of retina. Ct scan showed a large metallic foreign body lodge in the left eye. Vitrectomy with intraocular antibiotics was planned under guarded visual prognosis. During vitrectomy, it was found PSC was hindering the clear view of IOFB. Lensectomy was done in order to get a clear view. After doing vitrectomy and exposing the IOFB; a clear corneal incision was made in order to take the IOFB out. Large intraocular foreign body was then removed through corneal incision with difficulty. Repeated attempt was made to remove posterior vitreous in nasal quadrant but all attempt went in vain. Ultimately fluid air exchange was performed with through the existing break and endolaser was done.
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