intralenticular metallic foreign body- a case report

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1、Intralenticularmetallicforeignbody:acasereport：XiuQinZhao1,XinZhao,ediumtolargemetallicforeignbodiesinthelensshouldberemovedassoonaspossible,astheriskofplicationismuchhigher[14].Thechoiceofprocedureofcataractextraction(extracapsularcataractextraction/ph

2、acoemulsification)dependsonthesurgeonsexperience.Thetechniqueoreexperienceandatictothealreadyinjuredeyemustbepreferredforremovalofcataract.Themetallicforeignbodyinthelenscanbereomovedeitheragoragissufficientforremovalofmetallicforeignbodies.　　Majorityof

3、thepatientsationinutionofvisionrequiringsurgery.Hoationisnotinevitable.Thepresenceofsubcapsularepitheliummakesthesmallbreachintheanteriorlenscapsulehealquicklybyrapidepithelialproliferationrestoringitscontinuity,andlimitingthefreepassageofionsandfluidtha

4、tmayprogresstothedevelopmentofcataractformation[15].Patientsall,embeddedforeignbodyinthelens.Inadditiontocataractformation,uveitis,glaua,abscessformation,endophthalmitisandintraocularmetallosishavebeenoccasionallyreported[2].　　Themostseriousplicationofre

5、tainedintraocular/intralenticularironcontainingforeignbodyisthedevelopmentofsiderosisbulbi.Theclinicalfeaturesofthisconditionincludeirisheterochromia,pupilmydriasis,cataractformation,chronicuveitis,secondaryglaua,retinalpigmentarydegenerationandopticdisc

6、sainreasonforitsrareoccurrencenoovaloftheforeignbodyildanterioruveitisandalocalizedlenticularopacityintheloedical)treatmentallbreachintheanteriorcapsulehealedquickly;andthatcouldbetheprobablereasonforthedelayedformationofcataract.J,ChangS.Managementofint

7、raocularforeignbodies.Ophthalmology1987;94(12):16471653　　2MackenPL,BoydSR,FeldmanF,HeathcoteJG,SteinerM,BillsonFA.Intralenticularforeignbodies:casereportsandsurgicalrevieicSurg1995;26(3):250252　　3LeeLR,BrinerAM.Intralenticularmetallicforeignbody.AustNZ

8、JOphthalmol1996;24(4):361363　　4DhaalA.Intralenticularforeignbody:aDDayreminder.ClinExpOphthalmol2005;33(6):659660　　5ODuffyD,SalmonJF.Siderosisbulbiresultingfromanintralenticularforeignbody.AmJOphthalmol1999;127(2):218