Excellent Visual Potential in Intraocular Foreign Body-Associated Endophthalmitis

Abstract

Introduction: Ocular trauma is a major cause of visual loss in young adults worldwide. Intraocular foreign body injury is part of open globe injury where there is retention of a foreign body in the eye.

Case Illustration: A-54-year-old man was admitted to the emergency department with open globe injury following intraocular foreign body after hammering metals. Left eye visual acuity was hand-movement. A CT-scan revealed a metal density in the left eye’s posterior chamber. USG showed signs of endophthalmitis and were markedly improved during hospitalization. The fundus photograph shows an improvement since the patient was discharged from the hospital for the first time until several times he did outpatient control. Additionally, visual acuity improved to 6/6 after IOFB extraction, iridectomy, and scleral fixation was performed.

Discussion: Intraocular foreign body is an ophthalmic emergency that warrants prompt management. IOFBs are ideally removed at the time of first repair, but primary wound closure of the globe should not be delayed if vitreoretinal expertise is not readily available. Sum of raw points was 47 so the OTS score was 2, this indicates a 15% chance of visual acuity reaching above 20/40 in the next 6 months

Conclusions: Complications post-surgery such as infection, retinal detachment, and poisoning are still possible. In this patient, two months after first surgery, shown the presence of infection but after given proper treatment, the visual acuity improved to 6/6 after correction.