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Ophthalmic Images
November 8, 2018

Penetrating Injury With Foreign Body in the Angle of the Left Eye

Author Affiliations
  • 1Department of Glaucoma, Aravind Eye Hospital, Coimbatore, India
  • 2Department of Cornea, Aravind Eye Hospital, Coimbatore, India
JAMA Ophthalmol. 2018;136(11):e183064. doi:10.1001/jamaophthalmol.2018.3064

A male blacksmith in his 30s presented to the emergency department with history of injury to the left eye. On examination, his best-corrected visual acuity was 20/20 OU. The results of a slitlamp examination of the right eye were normal, while the left eye showed circumciliary congestion, a full-thickness corneal wound, a deep anterior chamber, a round and reactive pupil, and a clear lens (Figure, A). Results of the Seidel test showed no leak of aqueous from the cornea. Intraocular pressure was 14 mm Hg OU. Gonioscopy of the left eye revealed a metallic foreign body in the inferior angle (Figure, B). The results of a posterior segment examination were normal. The patient underwent removal of the foreign body under local anesthesia. At final follow-up, his eye was quiet, with 20/20 visual acuity.

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