International Ophthalmology

, Volume 30, Issue 6, pp 713–716 | Cite as

Missed intraocular foreign body masquerading as intraocular inflammation: two cases

  • Baris Yeniad
  • Muhittin Beginoglu
  • Cahit Ozgun
Case Report


To report two cases with missed intraocular foreign body masquerading as intraocular inflammation. The first patient was referred to our clinic with a diagnosis of a traumatic cataract. She had a history of ocular trauma. The clinical examination revealed intraocular inflammation and a mature cataract. Plain X-ray did not reveal a foreign body. She underwent a successful cataract surgery and intraocular lens implantation 1 month after the initial examination. Two months after the surgery she returned with visual impairment and intraocular inflammation. The foreign body was discovered on the surface of the iris during the follow-up. The second patient was referred to us for endophthalmitis. He denied ocular trauma. Plain X-ray, computerized tomography, and ultrasonography did not show a foreign body, but because of clinical suspicion, surgery was scheduled. In both patients the intraocular foreign bodies in the anterior chamber were removed successfully by a limbal approach. The patients remained symptom free after the foreign bodies were removed. The intraocular inflammation did not persist. A history of ocular trauma, unexplained intraocular inflammation, or intraocular inflammation unresponsive to the standard therapies should alert the physician to the presence of an intraocular foreign body. Further investigations should be performed in these cases to detect the foreign body.


Intraocular foreign body Endophthalmitis Intraocular inflammation Ocular trauma 


  1. 1.
    Mester V, Kuhn F (2002) Intraocular foreign bodies. Ophthalmol Clin North Am 15:235–242CrossRefPubMedGoogle Scholar
  2. 2.
    Betman JW (1990) Seven hundred medicolegal cases in ophthalmology. Ophthalmology 97:1379–1384Google Scholar
  3. 3.
    Bryden FM, Pyott AA, Bailey M et al (1990) Real time ultrasound in the assessment of intraocular foreign bodies. Eye 4:727–731PubMedGoogle Scholar
  4. 4.
    Barnes E, Griffiths M, Elliot A (1993) Intraocular foreign body missed by computed tomography. BMJ 306:1542CrossRefPubMedGoogle Scholar
  5. 5.
    Topilow HW, Ackerman AL, Zimmerman RD (1984) Limitations of computerized tomography in the localization of intraocular foreign bodies. Ophthalmology 91:1086–1091PubMedGoogle Scholar
  6. 6.
    Davidson RS, Sivalingam A (2002) A metallic foreign body presenting in the anterior chamber angle. CLAO 28:9–11Google Scholar
  7. 7.
    Lakits A, Prokesch R, Scholda C et al (1999) Orbital helical computed tomography in the diagnosis and management of eye trauma. Ophthalmology 106:2330–2335CrossRefPubMedGoogle Scholar
  8. 8.
    Cunliffe I, Singh A, Mody C et al. (1993) Retained intraocular foreign body simulating choroidal melanoma. A report of two cases. Ger J Ophthalmol 2:416–418Google Scholar
  9. 9.
    Maat W, Missotten GS, Luyten GP et al (2008) Retained intraocular foreign body masquerading as malignant melanoma of the iris. Graefes Arch Clin Exp Ophthalmol 246:623–624CrossRefPubMedGoogle Scholar
  10. 10.
    Alexandrakis G, Balachander R, Chaudhry N et al (1998) An intraocular foreign body masquerading as idiopathic chronic iridocyclitis. Ophthalmic Surg Lasers 29:336–337PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  1. 1.Department of OphthalmologyIstanbul University, Istanbul Faculty of MedicineIstanbulTurkey

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